Thank you for your interest in becoming a buddy!

Our buddy program is designed to connect patients with compassionate, knowledgeable individuals who can provide support and guidance throughout their treatment journey.

To be a buddy, you must have first-hand experience with lung cancer. Either you’ve battled it yourself or cared for someone who has. Your insights are vital for guiding patients and caregivers through this complex journey.

Please fill out the form below to express your interest and help us match you with those who need your support.

Personal Information

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Enter Name

Enter Phone No.

Email id

Select your city

Select your State

ZIP/ Postal Code

Background & Experience

What motivates you to become a buddy?

Do you have any relevant experience or training in patient support, healthcare, or counselling?

What qualities or skills do you believe make you a good buddy?

Availability

How many hours per week can you commit to being a buddy?

Additional Information

Do you have any specific areas of expertise or interests that could be helpful for patients?

Is there anything else you would like us to know about you?

and to else

Consent & Agreement

I agree to maintain confidentiality and respect the privacy of patients  and caregivers.

I understand that being a buddy involves providing support and guidance and may require ongoing training and updates.

Submit Your Application

Thank you for your willingness to make a difference. Once we receive your form, we will review your information and get in touch with you to discuss the next steps.

Thank you for your interest in becoming a buddy!

Personal Information

Background & Experience

Availability

Additional Information

Consent & Agreement

Submit Your Application

Thank you for your willingness to make a difference. Once we receive your form, we will review your information and get in touch with you to discuss the next steps.

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