GLOBAL EDUCATION PARTNER APPLICATION
Name of person filling out this form
First Name LAst Name
Address (if different from organization)
I would like to be an advisor
Our organization wishes to apply for membership at the rate of $99.00 per annum. We understand our first payment of $99.00 will constitute our first-year dues once our application has been approved.
CREDIT CARD AND PAYPAL DETAILS HERE
Indicate that your organization meets the following Worldwide Breast Cancer Global Education Partner criteria:
- Educate a minimum of 100 people per year about breast cancer with in person sessions
- Employs* at least one professional trained in breast cancer education (*can be a volunteer)
- Is committed to helping Worldwide Breast Cancer evaluate the effectiveness of the Know Your Lemons materials with the use of simple surveys
Hold Harmless Agreement
"By submitting this application, the applicant agrees not to bring any action, suit, or proceeding or to assert any claim against Worldwide Bresat Cancer relating to any decisions made in connection wtih this application or any action taken (or not taken) or any statemnt made in the course of their consideration of this application, and applicant expressly waives any rights it might otherwise have had to bring any such action, suit, processing, or to make any such claim."