Get Support
Get Support
Eligibility
Online Application
Aplicación en español
Get Involved
Donate
Donate
Planned Giving
Movement for Longevity
Bricks for Legacy
Volunteer
Share Omaha
News & Events
News & Events
A Night of Hope Gala
News and Events
Skin Cancer Screening
Celebration of Life
Fore the Foundation
Join our Mailing List
Resources
About
Our Story
Our Story
Who We Are
Impact
Get Support
Get Support
Eligibility
Online Application
Aplicación en español
Get Involved
Donate
Donate
Planned Giving
Movement for Longevity
Bricks for Legacy
Volunteer
Share Omaha
News & Events
News & Events
A Night of Hope Gala
News and Events
Skin Cancer Screening
Celebration of Life
Fore the Foundation
Join our Mailing List
Resources
About
Our Story
Our Story
Who We Are
Impact
Volunteer
Want to get more involved in NCS HOPE Foundation’s mission?
Volunteer Form
NCS Hope Foundation Volunteer form
About You
Your Name
(Required)
First
Last
Your Address
(Required)
Street Address
Address Line 2
City
ZIP Code
How Can We Reach You?
We would love to chat with you. How can we get in touch?
Preferred Method of Contact
Email
Phone
Your Email Address
(Required)
Email Address
Confirm Email Address
Your Phone
(Required)
How would you like to get involed?
Please let us know what kinds of volunteer activities with NCS Hope Foundation interest you
Volunteer Activities
(Required)
Infusion Clinic Hospitality (minimum 3 hour shift per week commitment)
Event Support (e.g. Free Skin Cancer Screening, Gala)
Hosting Fundraising Event on behalf of NCS Hope Foundation
Organizing a group to host dinner at ACS Hope Lodge (Omaha)
Administrative Support (Marketing, Communications, Social Media, Research, Etc.)
Serving on a NCS Hope Foundation Committee
Location Preference
Omaha metro area
Grand Island
Hastings
Fremont
Virtual
Availability - Days
Monday
Tuesday
Wednesday
Thursday
Friday
Availability - Times
Morning
Afternoon
Evening
Please share what interests you about volunteering with NCS Hope Foundation
(Required)
Please share past professional and volunteer experiences and skills that may benefit the volunteer program.
(Required)
Emergency Contact Information
Name
First
Last
Phone
Relationship
Professional Reference
Name
First
Last
Phone
Relationship
Background Check Information
The following questions are required by our application process. A conviction record will not necessarily disqualify you from volunteer opportunities. The circumstances of the conviction(s) will be considered in relation to the nature and duties of your desired volunteer position.
Have you ever been convicted of a felony or misdemeanor?
(Required)
Yes
No
If yes, date convicted
If yes, please explain
Do you have a record of founded child or dependent adult abuse, or have you ever been convicted of a crime, in this state, or any other state?
(Required)
Yes
No
If yes, please explain
Thank you for your interest in the NCS Hope Foundation volunteer program!
Consent
I agree to the privacy policy.
I understand that as a volunteer, I am expected to respect patient rights and confidentiality. I am not to share anything I see or hear to anyone inside or outside of the clinic. Any unauthorized disclosure of such information could render Nebraska Cancer Specialists liable for damages. Anything you see, hear or read is private and can’t be repeated.
I understand that any false or incomplete statements on this application or any other forms that I complete shall be sufficient cause for rejection for volunteer service or immediate discharge from volunteer service when discovered. I understand that this application is not a contract of volunteering service. I understand if I am offered a volunteering opportunity, it will be contingent on successfully passing a post-offer references and criminal background check, Adult and Child Abuse Registry background check and Office of Inspector General check.
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