Volunteer with the Colorectal Cancer Alliance


    Volunteer Interest Form

    Thanks for your interest in becoming a volunteer with us! We can't wait to get to know you better.




















    Select from the calendar (MM/DD/YYYY)




    Your contact info




























    Our allies can often help us create strategic partnerships to spread awareness, etc., by making introductions for us. Current employers and an alumnus' connection to a school can really help, as many organizations have health fairs and other ways to connect. 



    Considering my opportunity to serve as a trusted volunteer ambassador for the Colorectal Cancer Alliance, I agree to uphold the Organization’s standards with the utmost integrity.


    All volunteers shall abide by and conform to these professional standards:

    • Volunteers shall act honestly and ethically while in the performance of their volunteer duties.
    • Volunteers shall treat all Alliance employees, volunteers, and community members with respect, courtesy, and dignity.
    • Volunteers shall not discriminate and shall be respectful of ethnic, national, and cultural differences.
    • Volunteers shall not harass, bully, or mistreat staff or other volunteers.
    • Volunteers shall obey all applicable local, state, and federal laws, while acting on behalf of the Alliance, including all laws and regulations that govern appropriate conduct in the workplace.
    • Volunteers shall deter wrongdoing and ensure accountability for adherence to the Code of Conduct.
    • Volunteers shall assist and cooperate with all Alliance investigations.
    • Volunteers shall report violations or suspected violations of the Code of Conduct. Violations should be reported to the assigned staff partner, their manager, or volunteer@ccalliance.org.

    I understand that Privileged Information includes, but is not limited to, information about the Alliance’s Development program, its donors, event participants, constituents, and prospects, such as:

    • Names
    • Contact information (including phone number, email address, or mailing address)
    • Giving history 
    • Funding areas of interests
    • Event participation history
    • Connection to colorectal cancer
    • Medical/patient information

    As a volunteer representing the Alliance, I understand and agree to the following:

    • If the Alliance provides me with Privileged Information, it is in strict confidence to enable me to perform my functions as a volunteer.
    • I will never use Privileged Information for any purpose other than my volunteer service with the Alliance.
    • I will not share Privileged Information outside of Alliance's staff.
    • I will ensure the Privileged Information I receive is kept safe and secure from any unauthorized access, which includes preventing access to my computer, devices, email, or any other access point(s) that I control to Alliance's data.
    • I will never copy the Alliance’s data, whether electronically or on paper, except when it is necessary to address an envelope, write a letter, or write an email as part of my volunteer service.

    I attest that I am over the age of eighteen, of sound mind, and have read, understood and agree to all of the terms herein. 


    In consideration of my opportunity to be included in media produced and/or published by the Colorectal Cancer Alliance (Alliance), I grant the Alliance and its successors, licensees and assigns, unlimited rights to the video and photos I submit through this form (Material). These rights include the right, but not the obligation, to use, modify, and publish this Material in any markets and media (whether now known or hereafter developed), throughout the universe, in perpetuity. 


    I warrant and represent that I have the right to grant all rights granted herein and that the Alliance’s use of the Material as permitted herein will not infringe on the rights of any third party. I will indemnify and hold the Alliance and its successors, licensees and assigns, harmless from and against any and all claims, damages, liabilities, costs and expenses arising out of any breach of the foregoing warranty and/or any use of the Material. I further understand and agree that (a) I shall have no right to inspect or approve any portion of the Alliance’s resulting productions and/or media, (b) I shall not be entitled to any compensation or credit by virtue of this release and (c) in no event shall I have the right to seek or obtain injunctive or other equitable relief in connection with the Material or the development, production, distribution or exploitation of any future Alliance media that includes the Material. 

    By typing my name below and submitting this form, I attest that I am over the age of eighteen, of sound mind, and have read, understood and agree to these terms. 




    Contact Information

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