Toggle Menu

Current Results for Susan G. Komen Houston Volunteer Application

1. Date

Latest User Responses:

01/15/2021
 

 

 

12/31/2020
 

 

 

11/23/2020
 

 

 

11/12/2020
 

 

 

10/16/2020
 

 

 


View All Responses for question #1

2. Your information:

Total Number of Responses

31

3. I prefer to be contacted by:

Value

 

Count

 

Percent

Email

 

28

 

90.3

Phone

 

3

 

9.7

  

4. Name:

Latest User Responses:

Alicia Rodriguez
 

 

 

Tommie Morgan
 

 

 

Kishawn Joseph
 

 

 

Charles Tangu
 

 

 

bruce nguyen
 

 

 


View All Responses for question #4

5. Phone:

Latest User Responses:

7133774754
 

 

 

713-303-1762
 

 

 

832-642-4373
 

 

 

8325677594
 

 

 

281-691-4445
 

 

 


View All Responses for question #5

6. Relationship to Volunteer:

Latest User Responses:

Mother
 

 

 

Spouse
 

 

 

Daug
 

 

 

Father
 

 

 

husband
 

 

 


View All Responses for question #6

7. What is your experience with breast cancer?

Value

 

Count

 

Percent

Family Member

 

17

 

54.8

Friend

 

9

 

29.0

None

 

4

 

12.9

Co-Worker

 

1

 

3.2

  

8. Have you volunteered in the past for the Susan G. Komen Houston, another Komen Affiliate or Komen Headquarters?

Value

 

Count

 

Percent

No

 

22

 

71.0

Yes

 

5

 

16.1

User Provided No Response

 

4

 

12.9

  

9. If so, how?

Latest User Responses:

User Provided No Response
 

 

 

User Provided No Response
 

 

 

Stuffing swag bags
 

 

 

Race, Volunteer Educator, Facilitator,
 

 

 

User Provided No Response
 

 

 


View All Responses for question #9

10. Why do you want to volunteer for Susan G. Komen Houston?

Latest User Responses:

I want to volunteer for m...
 

 

 

I am a retired RN Healthc...
 

 

 

To give back to the commu...
 

 

 

Susan G Komen fights day ...
 

 

 

I want to give back to th...
 

 

 


View All Responses for question #10

11. How often would you like to volunteer?

Value

 

Count

 

Percent

Occasionally

 

12

 

38.7

Bi-Monthly (2 times per month)

 

9

 

29.0

Monthly

 

9

 

29.0

User Provided No Response

 

1

 

3.2

  

12. Availability to Volunteer

Total Number of Responses 31

Value

 

Count

 

Percent

Weekend

 

23

 

74.2

Daytime

 

17

 

54.8

Evening

 

14

 

45.2

User Provided No Response

 

2

 

6.5

  

13. Please indicate if you have more than one year of experience in the following areas: (You may select multiple areas)

Total Number of Responses 31

Value

 

Count

 

Percent

Word

 

22

 

71.0

Excel

 

19

 

61.3

Data Entry

 

14

 

45.2

Event Planning

 

10

 

32.3

Speaking a Foreign Language

 

9

 

29.0

Health Care Professional

 

8

 

25.8

Teaching

 

7

 

22.6

Fundraising

 

6

 

19.4

Public Speaking

 

5

 

16.1

Photography

 

4

 

12.9

Public Relations

 

3

 

9.7

User Provided No Response

 

3

 

9.7

Grant Writing

 

2

 

6.5

Finance

 

2

 

6.5

Journalism

 

2

 

6.5

  

14. If you speak a foreign language and are willing to share your skills, please indicate which language(s)

Latest User Responses:

Spanish
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 

N/A
 

 

 

vietnamese
 

 

 


View All Responses for question #14

15. Please list any additional skills that you would be willing to contribute as a volunteer.

Latest User Responses:

- Knowledge of Social Media - Customer Service
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 


View All Responses for question #15

16. Have you ever been convicted (including entering a plea of guilty or nolo contendere) of any felony crimes with in the past 7 years? Do not include convictions that were sealed or expunged pursuant to a court order.

Value

 

Count

 

Percent

No

 

31

 

100.0

  

17. Have you been charged with any crime involving a child?

Value

 

Count

 

Percent

No

 

31

 

100.0

  

18. If you answered "Yes", please provide the following information: The date, place of the offense and charge.

Latest User Responses:

User Provided No Response...
 

 

 

User Provided No Response...
 

 

 

User Provided No Response...
 

 

 

User Provided No Response...
 

 

 

User Provided No Response...
 

 

 


View All Responses for question #18

19. What other information do you believe is pertinent to our full understanding of this matter?

Latest User Responses:

User Provided No Response
 

 

 

I was forced to retire early due to an illness from which I have recovered. I don't want to go back to a job, but really miss contact with patients and family members
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 


View All Responses for question #19

20. Volunteer Signature:

Latest User Responses:

Heidi Parra
 

 

 

Craig K Morgan
 

 

 

Lashawn Johnson
 

 

 

Keumboh Tangu
 

 

 

thuy chau
 

 

 


View All Responses for question #20

21. Parent's or Guardian's Signature: (If volunteer is under age 18)

Latest User Responses:

User Provided No Response
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 

User Provided No Response
 

 

 


View All Responses for question #21