Get Support
Get Support
Eligibility
Online Application
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
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
Step
1
of
4
25%
About You
Your Name
(Required)
First
Last
Your Address
(Required)
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Companion of Hope (Provide comfort, care, and a listening ear to cancer patients during their infusion treatments; 3 hour weekly commitment)
Flowers for Hope Ambassador (Bring joy and encouragement to cancer patients by assisting in creating and arranging beautiful flower vases each week.)
Event Support (e.g. Free Skin Cancer Screening, Gala)
Administrative Support (Marketing, Communications, Social Media, Research, Etc.)
Other
Check all that apply
Other Involvement
Serving on a NCS Hope Foundation Committee
Hosting Fundraising Event on behalf of NCS Hope Foundation
Other
Check all that apply
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
Please share past professional and volunteer experiences and skills that may benefit the volunteer program.
Please briefly share your idea of hosting a fundraising event benefitting NCS Hope Foundation.
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.
Δ
Our
Sponsors