HERS Volunteer Application

HERS Breast Cancer Foundation's mission is to support all individuals healing from breast cancer by providing post-surgical products and services regardless of financial status.

Our assistance programs ensure that underserved breast cancer patients have access to post-surgical products and services that facilitate their physical and emotional healing. HERS operates in three Bay Area locations, and each year serves many hundreds of patients by providing assessment and fitting services and products such as breast prosthetics, specialty bras, compression garments, and wigs.

Our work is made possible through annual fundraisers, foundation grants, private donors, and the support of our dedicated volunteers. Thank you for your interest in joining our volunteer team! We look forward to connecting with you.

YOU ARE ABOUT TO START YOUR APPLICATION...

There are multiple sections to this application. Please complete each *required* section to move onto the next.

All volunteers must undergo a background check and sign a patient confidentiality agreement.

Click NEXT below to START

If you have any questions, contact us at info@herbsreastcancerfoundation.org

Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy