Volunteer for a better tomorrow

Personal Information

First Name

Last Name

Country

Street address

City

Province

Postal code

Which is the nearest regional office to you

Phone Number

Emergency Contact Name

Emergency Contact Number

Type of Phone Number

Additional Information

What is your connection to The Leukemia & Lymphoma Society of Canada?

Can you please specify your diagnosis?

Volunteer Activities

General administrative office help

Fundraising events

Ambassador or speaker

Leadership roles in various committees