Volunteer at a Relay For Life Event

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What type of volunteering are you interested in?(Required)

Administration (weekdays only) – answering phones, filing, stock control, data capture

Cancer risk reduction (health talks and exhibitions)

Emotional and practical support to patients

Cancer screening (nurses only)

Advocacy

Debriefing staff and volunteers (fully qualified psychologists and social workers only)

Property maintenance (only in areas where we have CANSA Care Centres/Care Homes)

Which province do you live in?(Required)

Personal Information

Name and Surname(Required)

Email(Required)

Cellphone(Required)

Address(Required)

Street Address Line 2 City/Town ZIP / Postal Code

Date of Birth(Required)

Day

Month

Year

Home Language(Required)

Other languages that you are proficient in:

Do you have any disabilities or serious health conditions that we need to be aware of that may affect you in the execution of your role as a volunteer?(Required)

Yes

If yes, please list your disabilities and/or health conditions:

Hobbies and Interests(Required)

Do you have your own transport?(Required)

Yes

If not, will you be able to get yourself around independently to where you need to be to volunteer?

Yes

Contact person in case of emergency

Name and Surname(Required)

Relationship(Required)

Cellphone(Required)

Education and Experience:

Please list your educational qualifications:

I am currently:(Required)

Employed

Unemployed

Looking for employment

Retired

Student

Other

If other, please provide details:

Please list the various employers you have worked for and the positions you have held:

Do you have any previous experience of volunteering?(Required)

Yes

Name of Institution

Dates involved as volunteer

Type of training received

Nature of volunteer work

Reasons for leaving

Volunteer Programme at CANSA

Where did you hear about CANSA’s volunteer programme?(Required)

Why do you want to be a CANSA volunteer?(Required)

When are you able to volunteer?(Required)

During the week

Over weekends

Are you wanting to gain community service experience/hours for a course or degree you are doing?(Required)

Yes

If yes, please state what course it is:

How many hours of community service are required:

Please note: Not all areas are able to accommodate short-term community service volunteers. We will assess your application and let you know.

Please attach a copy of your ID document to your application(Required)

Accepted file types: jpg, pdf, Max. file size: 10 MB.

Agreement between you and CANSA(Required)

I declare that the information provided above is, to the best of my knowledge, accurate.

And(Required)

I acknowledge that I will be subject to the code of conduct for volunteers of the Cancer Association of South Africa (CANSA) including screening, supervision and training by CANSA.

Communication Consent

By submitting my details, I agree to receive communication from The Cancer Association of South Africa (CANSA).

We undertake to treat your information confidentially and will not pass them on to third parties.

Privacy(Required)

I herewith give permission that personal information which is required may be stored on paper-based and/or digital systems of CANSA and may be used for the purpose of the project / service required. I consent to CANSA using my data for statistical purposes (no personal information will be used). Statistics will be used for internal research and for external stakeholders’ information only.(Required)

Volunteer at a Relay For Life Event