Baton Rouge Affiliate of
Susan G. Komen for the Cure
Volunteer Application
Contact Information
Name
Address
City
State
Zip
Phone
Email
Please complete the following information to share with us where you think your time and talents are best suited to help our organization.
Are you a breast cancer survivor?
Yes
No
Indicate your volunteer preference by checking one or more of the following:
Breast Health/Education Events
Breast Cancer Awareness Month (October) Events
Race for the Cure
Survivor Recognition/Support Events
Please briefly list any special skills that you may have (for example: data entry, publicity, sponsor recruitment, accounting, etc.).
Please briefly describe your reasons for wanting to be involved with Susan G. Komen for the Cure.