NCA-LOOK GOOD…FEEL BETTER
FACILITATOR/VOLUTNEER COSMETOLOGIST
APPLICATION
Dear Volunteer:
You have been recommended as an American Cancer Society LG…FB Volunteer Cosmetologist.
Please complete this Volunteer Profile and return it to your American
Cancer Society Patient Service Manager. Thank you
VOLUNTEER PROFILE (Please print):
Name:
Home Address:
City, State, Zip Code:
Place of Employment:
Work Address:
City, State, Zip Code:
Unit Name:
Area:
Home Phone:
Work Phone:
Fax:
Email:
EDUCATION:
Beauty Professionals: Please provide information on your cosmetology, esthetics/makeup
artistry, or nail technician training (name of educational institution, specific studies, and
date of licensing).
Volunteer or Site Coordinators: Please provide information on your high school or college
level education (name of educational institution, focus of study, degree granted, date of
graduation).
Revised: 6/3/04