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Woman to Woman Survivor Volunteer Application

Thank you for your interest in Woman to Woman (W2W), a partnership program between the Ovarian Cancer Research Alliance, Sue's Gift and your medical team. We are thrilled by your desire to offer peer mentorship and support to women who are newly diagnosed and/or receiving treatment for a gynecologic cancer.

To help facilitate the best possible matches, please complete the following form. We will be in touch with you once we receive this form to set up a brief overview prior to the volunteer training session.

Please note volunteer eligibility criteria: 1) Previous gynecologic cancer diagnosis; 2) One year post-treatment

Demographic Information

First Name
Last Name

Address Line 1
Address Line 2
ZIP/Postal Code
Medical Information

Additional information to assist with facilitating the best match:


Confidentiality Agreement
To ensure privacy protection as part of the Health Insurance Portability and Accountability Act (HIPAA) and to provide indivicuals with control over what personal information is used and disclosed, I agree to provide the above information to Sue's Gift.