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CANSA Volunteer Application Form

The Volunteer Programme Manager will note what kind of volunteer work you wish to be involved in when you select this on the online form. You will be contacted after you have completed and submitted the online application form.

Once you have received communication from the Volunteer Programme Manager confirming that you have been selected as a CANSA Volunteer, the way forward will be explained, and you will receive free training before you begin with volunteer work.

Ensure your connectivity is stable when completing the form and uploading supporting documents. Have a JPG or PDF of your ID document and driver’s licence (if you are able to drive), to upload on the online form – the file should not be larger than 10 MB

Step 1 of 4

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What type of volunteering are you interested in?(Required)

Choose your top two volunteering opportunities. First Choice:

Being a companion to a cancer patient

Facilitating at a CANSA Information and Support Desk

Starting and facilitating a new cancer support group (cancer survivors preferred)

Promoting health information in the community

Helping with administrative tasks

Assisting with fundraising initiatives (coming up with ideas and executing them)

Assisting with a CANSA national fundraising campaign to support staff

Administrative task options

Virtual admin

Care Centre or Care Home

Marketing and communication admin

Admin assistant to a nurse

Other

Administrative tasks - Other

Please explain what other administrative tasks you can assist with.

Fundraising campaign options

CANSA Shavathon

CANSA Relay For Life

Cuppa For CANSA

CANSA Active

Other

Fundraising campaigns - Other

Please explain what other fundraising campaigns you would like to assist with.

Second Choice(Required)

Being a companion to a cancer patient

Facilitating at a CANSA Information and Support Desk

Starting and facilitating a new cancer support group (cancer survivors preferred)

Promoting health information in the community

Helping with administrative tasks

Assisting with fundraising initiatives (coming up with ideas and executing them)

Assisting with a CANSA national fundraising campaign to support staff

Administrative task options (Second Choice)

Virtual admin

Care Centre or Care Home

Marketing and communication admin

Admin assistant to a nurse

Other

Administrative tasks - Other (Second Choice)

Please explain what other administrative tasks you can assist with.

Fundraising campaign options (Second Choice)

CANSA Shavathon

CANSA Relay For Life

Cuppa For CANSA

CANSA Active

Other

Fundraising campaigns - Other (Second Choice)

Please explain what other fundraising campaigns you would like to assist with.

Which province do you live in?(Required)

Personal Information

Name and Surname(Required)

Email(Required)

Cellphone(Required)

WhatsApp number (if different from Cellphone)

Address(Required)

Street Address Line 2 City/Town ZIP / Postal Code

Date of Birth(Required)

Day

Month

Year

ID Number(Required)

Gender(Required)

Home Language(Required)

Other languages that you are proficient in:

Do you have any disabilities or serious health conditions that we need to be aware of that may affect you in the execution of your role as a volunteer?(Required)

Yes

If yes, please list your disabilities and/or health conditions:

Hobbies and Interests(Required)

Do you have your own transport?(Required)

Yes

Do you have a valid driver’s license?(Required)

Yes

Please upload a copy of your driver's license(Required)

Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.

If not, will you be able to get yourself around independently to where you need to be to volunteer?

Yes

Do you have your own laptop/computer?(Required)

Yes

Do you have an internet provider or access to internet?(Required)

Yes

Would you be prepared to use this to assist with CANSA-related work?(Required)

Yes

Contact person in case of emergency

Name and Surname(Required)

Relationship(Required)

Cellphone(Required)

Education and Experience:

Please list your educational qualifications:

I am currently:(Required)

Employed

Unemployed

Looking for employment

Retired

Student

Other

If other, please provide details:

Please list the various employers you have worked for and the positions you have held:

Do you have any previous experience of volunteering?(Required)

Yes

Name of Institution

Dates involved as volunteer

Type of training received

Nature of volunteer work

Reasons for leaving

Volunteer Programme at CANSA

Where did you hear about CANSA’s volunteer programme?(Required)

Why do you want to be a CANSA volunteer?(Required)

When are you able to volunteer?(Required)

During the week

Over weekends*

During the week and over the weekend

*Limited opportunities available over weekends

Are you wanting to gain community service experience/hours for a course or degree you are doing?(Required)

Yes

If yes, please state what course it is:

How many hours of community service are required:

Please note: Not all areas are able to accommodate short-term community service volunteers. We will assess your application and let you know.

Please attach a copy of your ID document to your application(Required)

Accepted file types: jpg, pdf, Max. file size: 16 MB.

Agreement between you and CANSA(Required)

I declare that the information provided above is, to the best of my knowledge, accurate.

And(Required)

I acknowledge that I will be subject to the code of conduct for volunteers of the Cancer Association of South Africa (CANSA) including screening, supervision and training by CANSA.

Communication Consent

By submitting my details, I agree to receive communication from The Cancer Association of South Africa (CANSA).

We undertake to treat your information confidentially and will not pass them on to third parties.

Privacy(Required)

I herewith give permission that personal information which is required may be stored on paper-based and/or digital systems of CANSA and may be used for the purpose of the project / service required. I consent to CANSA using my data for statistical purposes (no personal information will be used). Statistics will be used for internal research and for external stakeholders’ information only.(Required)

Do you have a question?

Ask CANSA

Book a counselling session

0800 22 6622 Toll Free
072 197 9305 English and Afrikaans (text only)
071 867 3530 isiXhosa, isiZulu, Sesotho, Setswana and Sepedi (text only)

info@cansa.org.za

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