2025 Brushes with Cancer Mentor Application
1.
Name
2.
My pronouns are
3.
Email Address
4.
Phone Number
5.
Mailing Address
6.
Please include your availability (days and times).
7.
Why are you interested in mentorship?
8.
Do you have any clinical experience, either in a professionally or in a volunteer capacity?
9.
Why are you interested in supporting Twist Out Cancer's mission and work through Brushes with Cancer?
10.
Do you have a personal connection to cancer that you are willing to share?
11.
What would you identify as your strengths as a mentor?
12.
Do you have any preferences for mentees?
13.
Do you have any past experiences working as a mentor? Please share your insights.
14.
Do you have any concerns or barriers about becoming a mentor?
15.
Please indicate your understanding of commitment to the program:
You will not be assigned to specific pairs, but will be available on-call throughout the program in case a pair indicates a need for additional support.
I understand and am able to commit.
I understand but have some questinos/concerns.
I am unable to make this commitment.
