4th Annual YBCS Workshop

Grant Opportunity

4th Annual Young Breast Cancer Survivors Workshop

April 2, 2016

Birmingham, Alabama

The Gulf States Young Breast Cancer Survivor Network is awarding a limited number of gas cards to assist with traveling expenses for young survivors to attend the 4th Annual Young Breast Cancer Survivors Workshop in Birmingham, Alabama on April 2nd, 2016. If you are interested in applying, please submit the following information by March 20, 2016:

Name *

Name

First Name

Last Name

Email Address *

Age *

State of Residence *

City of Residence *

How did you learn about the Gulf States Young Breast Cancer Survivor Network? *

Have you previously received any funds from us for workshops, events, travel, etc? If so, which ones? *

Please write a short paragraph about why you would like to attend: *

Are you willing to write a short blog post about your experience at the gathering after you attend? *

Yes

No