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Teen Ambassador Application
Contact Information
Name
First Name
Last Name
Preferred Method of Communication
*
Phone
Email
Phone
*
Email
*
Verify Email
*
Which state do you reside?
*
School Name
Grade Level
select one
6th
7th
8th
9th
10th
11th
12th
Briefly share why you are interested in becoming a teen ambassador?
In order to become a Teen Ambassador, you must complete three activities within our program. Which (3) activities interest you the most?
Submit an essay to the Cancer Unwrapped writing contest.
Participate in Cancer Happens education course.
Create school-wide or community cancer prevention campaign (e.g. sun safety, anti-vaping, vaccines)
Host a Cancer Documentary screening at your school.
Build a team to volunteer or participate with local cancer community organization/event
Coordinate a Cancer Awareness Day at your school.
Provide support to current school community member going through cancer.
Other supportive or educational activity (needs approval)
Cancer Pathways values our relationship with you. How can we help you accomplish your goals and best support your efforts?