Lifetime Member Volunteer Nomination Application

If you are nominating someone other than yourself, please gain permission to ensure that the person wishes to transition to Lifetime Member Status.

Asterisk (*) indicates a required field.

Nominee Information

Name of person you are nominating (if yourself, write your name)*

Nominee's Phone Number*

Nominee's Email*

Close Relative (if known)

Name

Phone Number

Placement Information

Family, Guest & Volunteer Services will be able to find this information, but please complete if possible.

Approximate date candidate began volunteering

Volunteer Position

Personal Statement

Please comment on your experience as a St. Jude volunteer and why you wish to become a lifetime member. If you are nominating another active St. Jude volunteer for this distinction, please explain why.

Personal Statement*

I agree to share this information with St. Jude*
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