Apply to become an advocate

Name

First Name

Last Name

Address

Postcode

City

Country

Email

Phone

Why do you want to join the advocacy programme?

What is your experience of lung cancer?

I am living with lung cancer

I had lung cancer

My loved one had/has lung cancer

I am a healthcare professional

OtherOther

Which advocacy roles are you most interested in? (tick all that apply)

What skills or experience do you feel you can bring to the role?

Please share any other details you think may be relevant / of interest

We would love to keep in touch with updates about our work, campaigns and fundraising activities. Please let us know how you’d like to hear from us:

Yes, I’d like to hear from you by email

Yes, I’d like to hear from you by text

We may also occasionally contact you by post or phone. We promise to keep your details safe and will never sell or share them with anyone. You can also change your preferences or opt-out at any time. For full details of how we use your data, please see our Privacy Policy.

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