Request leave of absence...

Volunteers can request a leave of absence if they need to take a break longer than six weeks, but do not wish to resign from the program.

If you request a leave of absence, your patient or senior will be assigned to a new Angel, but you will not be removed from your Angels YahooGroups or the organization. To request a leave of absence, please complete the form below.

Full Name:
Address:
City, State, Zip:
Country:

E-mail address:

Alternate E-mail address:

Your Patient/Senior full name:

Why do you need a leave of absence:

On what date will your leave of absence begin:

Please select from the following: I am a Chemo Angel Card Angel Senior Angel

Indicate any special instructions about your patient/senior

Important: Please let Chemo Angels Administration admin@chemoangels.com know when you are able to accept a new assignment. Yes, I will.

Request Leave of Absence