Support for People with Cancer

 

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Chemo Angels is a 501(c)(3) nonprofit organization. All donations are tax deductible according to law. Partners with Guide Star and the Network for Good.

 

 

 

 

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Chemo Angels
P.O. Box 1971
Julian, CA 92036

USA

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Application for Traditional Chemo Angels

Attention Returning Angels! If you have been an Angel in the past 6 years, do not submit the application below. Click here to go to our Reassignment Form...

Full Name:
Address:
City, State, Zip:
Country:
   
Telephone No:  
E-mail address:  
Alternate E-mail address, if any:
   
Age:  
Gender:
   
  Are you a cancer survivor?      

If yes, briefly tell us more about what type of cancer, your treatment, and how long ago.

 

   
Briefly tell us about yourself:
   
  Please do not submit an application if you are unable to begin your commitment at this time.
  Are you able to begin as soon as needed?       
  Are you willing to be assigned to a child?      
   

Preferences: Please tell us about your preference regarding what type of patient you would like to be assigned to, (gender, religion, etc.). Note - we do not know the ethnicity of our recipients, please do not state any sort of racial preference. Give this question some serious consideration! We want you to be happy with your assignment. Important: Although we do accept children into our program, the majority of our patients are adults over the age of 35. If you are too specific in your preference, it will mean a longer wait for your assignment.

Minimum Age! I understand I have to be at least 25 years of age to participate in this program as a Traditional Chemo Angel.    yes, I am 25 years of age or older.

Sending Weekly! I understand the commitment is to send to my patient at least once a week   yes, I understand my commitment and will send at least once a week.

Long term commitment! Being a Traditional Chemo Angel is a serious long term commitment! If you have health, financial, or personal issues that might interfere with your angeling, please refrain from signing up at this time. Can you assure us, that you are in this for the long-haul, have given it a lot of thought, and are not entering into this lightly   yes I do, will, and can!

One way street! Chemo Angels is not a pen pal program. Although some of our patients enjoy corresponding with their Angel, most are simply not able to. Recipients or their contact people are required to check in with Chemo Angels administration on a monthly basis. They are told from the start that they do not need to respond to their Angel. Please do not expect to hear from your patient directly.   yes, I understand that I most likely will not hear directly from my patient, and that my commitment is to continue angeling regardless.

Absolutely no advertising or evangelizing! Do you agree not to use this group or program for any means of advertising, soliciting, evangelizing, or anything else of that nature?   yes, I agree.

International. Could you, or would you like to "adopt" a patient from a country other than your own? Aside from paying more postage it also means more work, such as filling out custom forms when sending packages, etc. Attention non-U.S. Angels! If you request a patient from your own country, your wait may be a bit longer than average.   yes, I would like to angel a patient from another country!   no, I'd only like to angel somebody from my own country.

Are you fluent in any language other than English? Please specify...

Hobbies/Interests. Use the following box to share with us your hobbies, interests, etc. This will help us to make the most compatible match for you.

Children? Tell us if you have any children or grandchildren you are close to. This information could help us in making a good match for you.

Your interest in Chemo Angels. Please tell us briefly in the box below why you want to be a Chemo Angel. This is an important question. Please do not skip it!

Religion/Spirituality. If religion/spirituality is important in your life, please tell us which religion or briefly describe your spirituality so we can make the best match for you. Although you may not care what religion your recipient is, they often feel most comfortable being assigned to an Angel with similar beliefs.

Miscellaneous - Anything else we should know about you that could help us make the best match for you?

How did you hear about us?                    

 

We have a YahooGroup for Angels. It is a place where Angels can ask questions, and share "angeling" tips and ideas with each other. When your assignment is made, you will be automatically subscribed to this group, and we ask all Angels to stay subscribed. Thank you!

 

 

 

 

 

 

   

© 2006 Chemo Angels/Website design by: S. Armstrong