Cervivor School 2019 Application for Returners
We are excited you are interested in coming to another Cervivor School! Before filling out the application, please watch the video below. The application deadline is 11:59pm on March 29, 2019.
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Facebook Name
Your answer
Instagram Username
Your answer
Twitter Handle
Your answer
What previous Cervivor Schools have you attended (select all that apply)? *
Required
Please paste the URL to your uploaded Cervivor Story below. If you haven't uploaded your story to Cervivor.org, please tell us why. *
Your answer
Why/How would you benefit from attending another Cervivor School? *
Your answer
Describe your advocacy in the past year; specifically speaking to how have you contributed to our overall Cervivor Footprint? Tell us what you've done, how you've represented Cervivor, and the impact it has had as well as any other thoughts you'd like to share. If you haven't advocated much/at all, describe why and how it will be different after possibly attending Cervivor School again. *
Your answer
What topics/kinds of sessions would be most beneficial to you at your next Cervivor School?
Your answer
Please make sure to watch the introduction video at the top of this application. Following is a link to view it in full screen: https://youtu.be/rIaYkIepV84. Initial below to indicate that you have listened to and understand our fundraising/funding requirements for attending Cervivor School. *
Your answer
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