Volunteer Application

Please fill out and submit the following form to volunteer for the York County Cancer Association.

Contact Information
Availability and Interests
Special Skills or Qualifications
Emergency Contact

Person to notify in case of emergency.

Agreement and 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.

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.

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