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Komen Nashville Events

Volunteer

Our volunteers come in all sizes, shapes and colors, but their hearts are pink and their caring has no limit. Use your talents in our promise to save lives and end breast cancer forever! Volunteers provide countless hours contributing their skills to further the Susan G. Komen for the Cure® promise. Every minute you spend helping gives another minute of hope to those affected by breast cancer.

Already Signed Up? Click here for the list of available opportunities

Komen Greater Nashville is a proud recipient of the Excellence in Volunteer Engagement (EVE) certification, an initiative recognizing high-quality volunteer management by nonprofit organizations.

Volunteer Application

*1.

Question - Required - Date

Month

Day

Year

Your information:

Name:

First Required	Last Required

Email: Required

Street 1: Required

City/State/ZIP:

City Required	State Required	ZIP Required

Phone Number: Required

Employer:

Occupation:

Date of Birth:

Yes, I would like to receive e-mail from Susan G. Komen Greater Nashville Affiliate

Email Format:

Yes, I would like to receive postal mail from Susan G. Komen Greater Nashville Affiliate

*3.

Question - Required - I prefer to be contacted by:

*4.

Question - Required - Have you ever been convicted of a felony?

Question - Not Required - If yes, explain:

Question - Not Required - Do you wish to be recognized as a breast cancer survivor?

Question - Not Required - If you speak a foreign language and are willing to share your skills, please indicate which language(s)

Question - Not Required - Why do you want to volunteer for Komen?

Question - Not Required - Have you volunteered for Komen in the past?

10.

Question - Not Required - If so, when?

11.

Question - Not Required - Please list any additional skills that you would be willing to contribute

12.

Question - Not Required - Please indicate if you have more than one year of experience in the following areas: (You may select multiple areas)

	Data Entry
	Excel and Word
	Event Planning
	Finance
	Fundraising
	Grant Writing
	Health Care Professional
	Journalism
	Photography
	Public Relations
	Public Speaking
	Teaching

13.

Question - Not Required - How often would you like to volunteer? Weekly
Monthly
Occasionally
Race

14.

Question - Not Required - Daytime availability

15.

Question - Not Required - Evening availability

16.

Question - Not Required - Weekend availability

17.

Question - Not Required - Are you flexible to help out on projects that give short notice?

18.

Question - Not Required - I'm interested in a: Leadership position
Support position

19.

Question - Not Required - Please list any specific positions that you are interested in applying for below.

Komen Volunteer Release
Emergency Contact:

20.

Question - Not Required - Name:

21.

Question - Not Required - Phone:

22.

Question - Not Required - Relationship to Volunteer:

I wish to volunteer for Greater Nashville Affiliate of Susan G. Komen® . I understand that the nature of volunteer activities that I may perform in my capacity as a volunteer may involve physical activity, contact with unidentified or unfamiliar persons, or other potential risk of bodily injury or damage to property. Knowing this, I hereby assume full and complete responsibility for any personal injury and/or property damage that I may sustain or cause during my participation as a volunteer. In addition, I hereby release, hold harmless & covenant not to file suit against the Komen Affiliate, Susan G. Komen, Inc. and of their employees, volunteers, partners, agents, Sponsors, Board Members and Successors from any and all loss, liability or claims I may have arising out of my service as a volunteer. I understand that as a volunteer, I may become privy to confidential information about the Komen Affiliate or Susan G. Komen. I agree to maintain the confidentiality of any information marked “confidential” as well as any information about the Komen Affiliate’s or Susan G. Komen’s internal procedures, business operations, personnel information and the like that is not otherwise publicly disclosed by the Komen Affiliate or Susan G. Komen. I will not use any confidential information in any manner that would be detrimental to the Komen Affiliate or Susan G. Komen, and I will avoid any actions that might impair the reputation of the Komen Affiliate or Susan G. Komen.

*23.

Question - Required - Volunteer Signature:

Greater Nashville Affiliate of Susan G. Komen®
4009 Hillsboro Pike Suite 209 Nashville, TN 37215 · Phone: 615-383-0017 · Fax: 615-383-0067 · Email: info@komennashville.org

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