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YALC APPLICATION

Applying to join our leadership council is easy. We just want to make sure you're serious about contributing and therefore ask that you fill out this form. You will receive an email within 48 hours acknowledging your application so we can schedule a phone interview with your national and/or regional representative. Thanks!


* mandatory field

Full Name*:
E-Mail*:
Gender*:
Birthday*:
Street Address*:
City*:
State/Province*:
Zip Code*:
Country*:
Phone*:
MySpace:
Facebook:
Blog/Website:
I am a*:
Cancer Type*:
If Other:
How did you find out about YALC?*

What Makes You An Ideal YALC Applicant?*

What is your greatest strength to help YALC?*

What do you think is being done right for the young adult survivorsand what do you think is sorely lacking?*

Do you currently volunteer and/or fundraise for other cancer organizations? If yes, which ones?*

What does
"the cure"
mean to you?
Be honest.*

After treatment it never comes back.
You never get it in the first place.
'Cure' is a catchy, exploited, arbitrary and abstract health marketing term that has lost all sense of meaning and purpose because remission is not a cure.

Did you watch our
Public Service Announcements
on YouTube?

Not yet but I promise I will.
Yes I did and you guys totally
hit the nail on the head. Well done.
Yes I did and I think you're a little fanatic but I certainly get the point.

I pledge that I will commit—in good faith and to the best of my ability—to the challenge of serving on the i[2]y Young Adult Leadership Council by upholding a personal commitment to do my part and fulfill both the required and suggested action tasks asked of me through this council membership.

Yes

I pledge to ensure that i[2]y (1) becomes the most recognizable and (2) remains one of the most comprehensive, easily navigable, trusted, peer-reviewed and patient-friendly online resource portal for adolescents, teenagers and young adults affected by cancer as well as their families and caregivers.

Yes

   
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