Susan G. Komen for the Cure - Siouxland Affiliate

Volunteer Profile - Siouxland Affiliate

Thank you for your interest in volunteering your time and expertise with the Komen Affiliate in Siouxland. Please complete the contact information below and indicate your area(s) of interest, and a Komen Siouxland Affiliate representative will contact you about upcoming volunteer opportunities.

Name:
Address:
City: State: ZIP:

Home Phone: Work Phone:
Cell Phone:
Email:
Company Name: Position:

I am interested in helping with:
Educational Health Fairs & Expos
Education Komen Speakers' Bureau
Newsletter, press releases or website
Grants
Volunteers and Board Development
Marketing Special Events
Special Events & Fundraising
           Puttin' on the Pink (October)
           Pink Ribbon Week (October)
           Race for the Cure® (May)
           Other Pink Ribbon Events
           Survivor Events

I am available:
Weekdays
Evenings
Weekends

I am interested in:
A Leadership Role / Committee Chair / Board Member
A Supportive Role / Committee Member

I am a Survivor

Special skills and strengths:

Computer / software knowledge:

Breast cancer has touched me:

Language Skills (other than English). Please list:

Previous involvement with the Komen Foundation: