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Face 2 Face Coordinator Application   

YSC Face 2 Face Coordinator Application

Thank you for your interest in becoming a Face 2 Face Coordinator. You are a crucial link between us and young adults affected by breast cancer, ensuring they are connected, supported and engaged through our programs and resources. We thank you for your time and efforts in helping us build our circle of support.

Please review the Face 2 Face Coordinator description before submitting your application.
Contact Information










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Personal Information


Format MM/DD/YYYY

MM/DD/YYYY







Note: you do not need to fill this out if you have already provided YSC with this information on a different form.
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F2F Network Information

City, State Zip Code

Example "Denver F2F" or "Albuquerque F2F at Lovelace"

Please include a general meeting time and if you've already started the network (Ex:Young moms diagnosed with breast cancer in New York, plan to meet once a month on first Tuesday)

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Acknowledgement of Terms & Conditions
By submitting this application, you agree to Young Survival Coalition (YSC) terms and conditions of serving as an F2F Coordinator. Please read the following statements and click the appropriate button to verify you have read and agree to these terms.

1. You are a volunteer of YSC and at no time can represent yourself as an employee of YSC.
2. You cannot give medical advice.
3. You cannot use YSC's events to sell products or services.
4. New programs delivered under the YSC logo(s) must be approved by YSC.
5. You cannot sign contracts, open bank accounts, or in any other way act as a legal entity under YSC's name.
6. You have read and agree to the Young Survival Coalition Volunteer Release.


Contact Information