Making Life Easier For People With Leukemia, Lymphoma & Myeloma

Online Volunteer Application

  • Availability

    During which hours are you available for volunteering?
  • Interest

    Tell us in which areas you are interested in volunteering.
  • Special Skills or Qualifications

    Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies. Please include computer related skills you might have or foreign languages spoken.
  • Previous Volunteer Experience

    Please summarize your previous volunteer experience.
  • Person to Notify in Case of Emergency (optional)

  • Felony Convictions

  • Please provide any additional details you’d like to include.
  • Agreement and e-Signature

    By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
  • Our Policy

    It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.
  • This field is for validation purposes and should be left unchanged.