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About CanCare & This Volunteer Opportunity

CanCare is a community of cancer survivors and caregivers who walk beside others facing cancer, offering empathy, encouragement, and hope through one-on-one support. 

As a CanCare Volunteer, you'll have the opportunity to use your own experience with cancer-either as a survivor or as a caregiver-to bring strength and reassurance to someone just beginning their journey. 

Please complete this form to begin your application process. Together, we can ensure that no one has to endure cancer alone. 

 

 

VOLUNTEER INFORMATION 
To comply with CMS regulations, we must ask for your Social Security Number. If you do not have one, enter 000-00-0000 and check the box that states, "I do not have a Social Security Number." You are not required to be a U.S. citizen to volunteer at Harris Health.
CANCARE VOLUNTEER INFORMATION 
CANCARE VOLUNTEER ACKNOWLEDGEMENT:


PERSONAL INFORMATION
OTHER INFORMATION


TEXT OPT IN
PHOTO RELEASE:
As a Harris Health volunteer, I realize that my image may be captured at different events. I give my permission to the Administrators of Harris Health; Guest Services and the Administrative Director of Corporate Communications to use my image in any appropriate and related materials that will promote or otherwise publicize the Volunteer & Guest Services department or Harris Health.*

BACKGROUND CHECK AUTHORIZATION:
Choose if you have ever been convicted of or been on deferred adjudication for, or are you now either awaiting trial for or on deferred adjudication for, a felony or misdemeanor.
CONFIDENTIALITY AGREEMENT:
I agree to use confidential or proprietary information only as needed to perform my volunteer duties.  This means I will not access confidential or proprietary information without legitimate need/permission, nor in any way divulge, copy, release, sell, lend, revise, alter, or destroy any confidential or proprietary information belonging to Harris Health.  I understand that I will be automatically dismissed as a volunteer if I do not respect my responsibility for maintaining confidentiality.

 

If accepted as a Harris Health System Volunteer, I agree to the following: