Become a 2017 Susan G. Komen Central Indiana
Race for the Cure® Ambassador

We are seeking breast cancer survivors/thrivers (women or men) who are willing to share their story with the central Indiana community.

In preparation for the 2017 Susan G. Komen Central Indiana Race for the Cure®, we will select 10 ambassadors who are breast cancer survivors/thrivers to represent our organization on a local level in the months and weeks leading up to Race through local media opportunities, community outreach events and by serving on the Race committee. You will also have the opportunity to connect and socialize with other Ambassadors.

What we’re looking for:

·  Breast cancer survivors and thrivers living in the Indianapolis area

·  Diversity in breast cancer experience (for example, age at diagnosis, type of diagnosis)

·  Excellent communication skills; comfortable speaking in front of a camera and to a group of people

·  Willingness to share your personal breast cancer journey and represent Komen Central Indiana in the community

·  People who are interested in getting involved with Komen as volunteers beyond Race

If selected, responsibilities include:

·  Attend a meet-and-greet event with the 2017 Ambassadors at 5:30 pm on Thursday, January 5 at the Komen Central Indiana office *required

·  Attend an Ambassador training at 6 pm on Thursday, February 2 at the Komen Central Indiana office *required

·  Attend two Race for the Cure committee meetings on January 19 and March 23 *optional

·  Attend the 2017 Indianapolis Race on Saturday, April 29, 2017 *required

·  Media interviews and speaking opportunities for Race on an as-needed basis

To apply, please complete the following application and e-mail it, along with a photo of yourself, to by Friday, November 18, 2016.

DEADLINE TO SUBMIT APPLICATIONS – FRIDAY, NOVEMBER 18th, 2016

Please email your completed application and a photo of yourself to by Friday, November 18.

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Your Name:

Age:

Address:

Home Phone:

Cell Phone:

E-mail:

Occupation:

Tell us about your breast cancer journey:

Year you were diagnosed:

Your age at time of diagnosis:

Type of breast cancer diagnosis:

Why do you want to be an Ambassador?

Background (hobbies, families, kids, pets, etc.):

What takeaway message do you want to share with others?

Do you have the flexibility or support of your employer to be able to participate in various events during the daytime, evening and/or weekends?

Have you had other experiences with Susan G. Komen and/or Race for the Cure?

THANKS FOR YOUR INTEREST IN THE 2017 RACE AMBASSADOR PROGRAM!