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FORMS

New Client Forms

New Client inquiry form

Angels Surviving Cancer, Inc. is a breast cancer survivorship organization.

If you have questions or concerns surrounding your breast cancer journey (or the journey of someone you know) and would like the help of our organization,

 

PLEASE COMPLETE OUR NEW CLIENT INQUIRY FORM HERE.

C.a.r.e Form (Request assistance)

The Angel’s Surviving Cancer (ASC) C.A.R.E. Program provides support to individuals coping with the care and aftermath of Breast Cancer. ASC’s primary focus is to help patients and their families with critical financial needs brought about by their treatment.

 

If you or someone you care about needs financial assistance due to the effects of breast cancer,

PLEASE COMPLETE OUR C.A.R.E FORM HERE.

Executive Board & Volunteer Application Forms

internship application

Are you an undergraduate student in the Houston area, looking to gain useful experience associated with your major and career path?

An internship with Angels Surviving Cancer, Inc. will allow you to:

 

  • Build your portfolio 
  • Receive Coaching and Mentoring
  • Flexible Schedule 
  • Year round internship opportunities
  • Meet new people and grow your partnership network 

APPLY HERE FOR MORE INFORAMTION AND INTERNSHIP OPPORTUNITIES

Board member application

Angels Surviving cancer has many Board Membership opportunities available.

 

If you are looking for a leadership position that allows you to make a difference in the breast cancer community, consider joining our executive board.

 

APPLY HERE FOR MORE INFORMATION ABOUT BOARD MEMBER OPPORTUNITIES

advisory board application

Angels Surviving cancer has many Advisory Board Membership opportunities available.

 

If you are looking for a leadership position that allows you to use your professional skills to help make a difference in the breast cancer community, consider joining our executive advisory board.

 

This team is made up of Medical Doctors, Surgeons, Attorneys and Financial Counselors.

 

APPLY HERE FOR MORE INFORMATION ABOUT BOARD MEMBER OPPORTUNITIES

Donation Opportunities & Forms

In-kind donation form

Angels Surviving Cancer is currently seeking in-kind donations. These are non-monetary donations that aid in the mission of the organization.

Examples of tangible in-kind donations: (Care Bag Supplies)

  • Fuzzy Socks
  • Blankets
  • Tumblers/Water Bottles
  • Unscented Lotion
  • Lip Balm
  • Journals & Pens
  • Inspirational Material
  • Educational Materials

Examples of non-tangible in-kind donations: 

  • Advertising
  • Professional services
  • Voluntary labor
  • Speaking engagements

IF YOU WOULD LIKE TO MAKE AN IN-KIND DONATION, PLEASE SUBMIT FORM HERE

donation form

Angels Surviving Cancer is currently seeking in-kind donations. These are monetary donations that aid in the mission of the organization.

If you would like to learn about how we use the donations we receive and the programs your donation would go to, please click here.

IF YOU WOULD LIKE TO DONATE TO ANGELS SURVIVING CANCER, PLEASE DONATE HERE

Current Member Forms

The following forms are for current members only. If you are not currently a member of Angels Surviving Cancer, Inc. and would like more information on joining our sisterhood, please contact us directly via info@angelssurvivingcaner.org or via phone at 281-912-5195.

MEMBERSHIP PROFILE FORM

In order for Angels Surviving Cancer to keep up-to-date information on our members, we request that all members submit their annual membership profile. This allows us to keep all contact information current and keep our membership in the know of all meetings, events and activates. 

 

PLEASE SUBMIT YOUR ANNUAL MEMBERSHIP PROFILE HERE IF YOU HAVEN’T ALREADY. 

h.a.l.o Profile form (ages 20-45)

In order for Angels Surviving Cancer to keep up-to-date information on our H.A.L.O members, we request that all members submit their annual membership profile. This allows us to keep all contact information current and keep our membership in the know of all meetings, events and activates. 

 

PLEASE SUBMIT YOUR ANNUAL MEMBERSHIP PROFILE HERE IF YOU HAVEN’T ALREADY. 

board member agreement

Sitting on the Executive Board of Angels Surviving Cancer, Inc. is both rewarding and challenging.

 

Your choice to play a leadership role plays a critical part in the success of ASC as an organization. Your agreement to do so shows the dedication you have to make a difference. 

 

SIGN YOUR AGREEMENT TO BE AN EXECUTIVE BOARD MEMBER HERE IF YOU HAVEN’T ALREADY

advisory board agreement

Sitting on the Advisory Board of Angels Surviving Cancer, Inc. is both rewarding and challenging.

 

Your choice to play a professional leadership role plays a critical part in the success of ASC as an organization. Your agreement to do so shows the dedication you have to make a difference. 

 

SIGN YOUR AGREEMENT TO BE AN EXECUTIVE BOARD MEMBER HERE IF YOU HAVEN’T ALREADY

Want to make a difference?

Help us raise money to support young women affected by breast cancer.