Iran Cancer - Volunteer Registartion
We would like to learn more about you and what you think of Iran Cancer. We need your help as a volunteer.
By filling out the short form below, you are providing valuable information that will help us better define who our website users are and how we may start our services and information to best fit Iranian needs.
Iran Cancer will not use any information you provide for “spam” type messages or unsolicited emails.
Thank you for visiting Iran Cancer and for providing your volunteering offer.
Notes:
You may fill following fields in both Farsi or English.
All fields are optional, but it's better to give us as much as information you can.
If you need to send us any suggestions or you have any question, please use
this form
.
If you need to recommend this site to a friend, please use
this form
.
For more infromation about this plan in Farsi, please check out
this link
.
Sex
Female
Male
How old are you
Under 20
21-30
31-40
41-50
51-60
61-70
71+
Country of Residence
Iran
USA
Canada
Germany
UK
Australia
Sweden
Netherland
UAE
Other Parts of Middle East
Other Parts of Euroupe
Other Parts of America
Other Parts of Asia
Other Parts of Africa
City
Education
No Answer
High School
Some College
Associates Degree
Bachelor's Degree
Master's Degree
Ph.D.
Postdoctoral
Major
Occupation
E-mail Address
Your Weblog or Website
Why did u come to this website?
I'd like to help others
Information on Specific Exams
information on Cancer General
Information on Health Topics
Suffering from any kinds of Cancer
My family member has Cancer
I'm here for researching purposes
Other
First and Last Name
How did u hear about us
How you will help us?
Gather and Organize Data
Translation (to Farsi)
Breast Cancer Research and Study
Statistics and National Wide Data
Information on Locations & Centers
Animation and Flash Designer
Medical and Health Care Assistance
Logo, Poster, Brochure Designer
Web Designer and Developer
Making Reports, News and Contacts
General Assistant, You let me know
Other
Language(s) you can help
Farsi
English
French
German
Anything would like us to know about you
How do u rate your volunteer activity?
Very Good
Good
Poor
Would u like to receive our newsletter?
Yes, Sure
No, Thanks!
Any resources you offer us about Cancer?
Note that after submitting this form, you will be forwarded to the main page.
Thank you very much for your time, we will contant you soon.
If you have any question, please
contact us
2006 (C) Iranian Cancer Society