Thursday, July 20, 2023 at 1:00 PM EDT
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Roswell Park Comprehensive Cancer Center

665 Elm St
Buffalo, NY 14203

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Courtney Kelly
Roswell Park Comprehensive Cancer Center
716-845-3183
courtney.kelly@roswellpark.org

2023-2024 Yroswell Street Team Application

Please complete the form below to apply for the 2023-2024 Yroswell Street Team. (Meetings begin January 2024)

* Required information

About You

Reference #1 (Name, Phone Number, Relationship i.e. teacher, coach, etc.)
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* Please explain in a few sentences why you would like to be a Street Team member and what qualities you can bring to the team.
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* If you were asked to host a fundraiser at your school, what type of fundraiser would you plan and why? Please be as detailed as possible.
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*
How did you hear about the Street Team?*
- Social Media
- School
- Parent/Family Member
- Friend
- Roswell Park Employee
- Radio
- Mail
- Other

I understand that this position is voluntary and I agree to complete orientation. Checking "I agree" constitutes as your legal signature.
- I agree
Name of parent/guardian if 18 or under:

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