Support for People with Cancer

 

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You can make a difference!

Your support is urgently needed. Help us continue to bring a ray of sunshine to those battling cancer...

DONATE HERE...

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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Senior Angel Application Form

Attention Returning Senior Angels! If you have been a Senior Angel in the past 5 years, do not submit the application below. Click here to go to our Senior Angels Reassignment Form...

 

Name:
Address:
City, State:
Country:
   
Telephone No:
E-mail address:
Alternate E-mail address, if any:
   
Age:
   
Briefly tell us about yourself:
   
Date you are available:
   

Preferences Please tell us about your preference regarding what type of senior 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.

Some of our recipients are long-term residents in nursing facilities who are under the age of 65. Would you be willing to accept a younger person?   yes   no

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

Long term commitment! Being a Senior 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! Senior Angels is not a pen pal program! Although some of our seniors enjoy corresponding with their Angel, most are simply not able to. Recipients or their contact people are required to check in with Senior Angels administration on a monthly basis. They are told from the start that they are not expected or required to respond to their Angel. Please do not expect to hear from your senior directly.   yes, I understand that I might not hear from my senior, and that my commitment is to continue angeling regardless.

Absolutely no advertising! Do you agree not to use this 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 senior 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 senior from your own country, your wait may be longer than average.   yes, I am able to accept a senior from another country.   no, I'd 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.

Your interest in Senior Angels. Please tell us briefly in the box below why you want to be a Senior 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 form of spirituality so we can make the best match for both you and your senior buddy. Although you may not care what religion your recipient is, they often feel most comfortable assigned to an Angel with similar beliefs.

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. Upon acceptance, you will be automatically subscribed to this group, and we ask all Angels to stay subscribed. Thank you!

 

 

 

 

 

 

More ways you can help...

Gift Cards needed! If you would like to put your valid or expired Gift Card to good use, donate it to Chemo Angels. To learn more about this program...

CLICK HERE...

 

Have you recently received a new cell phone and don't know what to do with your old one? Send it to Chemo Angels...

CLICK HERE...

 

Chemo Angels has teamed up with America's largest car, boat, and RV Donation Center. If you have an old car, boat or RV and would like to donate it...

CLICK HERE...

 

Save the environment while helping your favorite charity. Send us your used Ink and/or Toner cartridges for recycling. Proceeds will directly benefit Chemo Angels. For more information...

CLICK HERE...

 

   

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