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.
Have you had any recurrences? *
What types of treatment were involved in
your care? *
By checking this box to apply to be a participant in the Roswell Park Comprehensive Cancer Center’s Cancer Coach program, you acknowledge giving authorization for the program administrators to share basic demographic information with matched participants and partners of the program to support your needs.