Fill out the form below,, and one of our Irish Cancer Society cancer nurses will contact you as soon as possible.

Booking Enquiry Form

Your Details

Who is the call about?
Please select which day (Monday to Friday) you would like for the call.
Would you prefer a morning(9-1) or afternoon(2-5) call?

Please list 2 preferred times you would like for the video call.

*While we cannot guarantee these times we will do our best to provide them
Preferred Contact
Volunteer Availability (time)
Please select the days that you are usually available
What hospitals are you willing to drive to?
All volunteers are asked to commit at least 2 days a month to driving for the Volunteer Driver Service. Are you able to commit 2 days a month?
 
Please note that while there is flexibility in the days you may choose to drive each month, we ask that volunteers have at least two days mid-week that they are usually available to ensure have a minimum number of drivers available at all times:

Additional Details

Volunteered Previously
Social Media
Inerested In
Familiar With

Stay in touch

We would like to keep you updated about the impact of your support with our e-newsletter. It's sent out every few months with updates on what we're doing in the fight against cancer thanks to your support.
 
We ask for the information above so that our Cancer Nurses can communicate with you, answer your questions and give advice or support. We will keep this information securely for as long as you are receiving support from our nurses, and once this has finished we will delete your personal details. Please check our privacy policy to see how we protect and manage your submitted data. If you would prefer for us not to hold this personal data, please contact supportline@irishcancer.ie
We ask for the information above so that our Cancer Nurses can communicate with you, answer your questions and give advice or support. We will keep this information securely for as long as you are receiving support from our nurses, and once this has finished we will delete your personal details. Please check our privacy policy to see how we protect and manage your submitted data. If you would prefer for us not to hold this personal data, please contact supportline@irishcancer.ie