Complete this application if you are interested in being a Cancer Coach. Your application will
be reviewed and you will be contacted by our Cancer Coach Coordinator to be interviewed and to discuss the
next steps in the process.
Your biologically assigned gender *
Answering these questions will enable us to place you most effectively with patients that are
having similar experiences to yours.
Have you had any recurrences? *
What types of treatment were involved in
your care? *
Are you a current Roswell Park
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