Days of Dedication 2017

Thank you for submitting your story to be shared with The Ulman Cancer Fund's 4K for Cancer team! As an honorary teammate, you or your loved one's story will be shared with each of our teams as they travel across the country this summer between June and August. We will let you know which day is dedicated to you or your loved one and you will receive a personalized postcard from each of our teams letting you know where in the country they were on your dedicated day.

1. Full Name *This question is required.

2. Please choose the option below which best describes you *This question is required.

Please enter an 'other' value for this selection.

3. If you are a friend or family member, who are you applying in honor or memory of?

4. Please include your email address and phone number where you would like to be reached *This question is required.

5. Which is the best way to reach you? *This question is required.

6. Name and address where you would like your postcards sent. *This question is required.

7. Would you like us to send you some postcards you can write to the teams to send to their arrival city? (We will provide addresses and stamps) *This question is required.

8. Please share your cancer story with us. Tell us anything that will help our teams get to know you or your loved one better. If needed, there are some prompts below. You may also upload your story in the following question. Please write at least 2 paragraphs.

If you are a young adult living with or surviving cancer:
How has cancer affected your life?
How do you strive to live life to the fullest?
From where do you draw your strength?

If you are sharing a loved one's story, tell us about your relationship with them.
How did/does cancer affect their life?
How did/do they impact your life?
How do you strive to carry on their legacy?

9. Upload your story here

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10. If applicable, please describe how the Ulman Cancer Fund impacted your cancer journey. *This question is required.

11. Please upload a photo of yourself.

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12. How did you hear about Days of Dedication. *This question is required.

Please enter an 'other' value for this selection.
Please enter an 'other' value for this selection.
Please enter an 'other' value for this selection.

13. With your permission, your story and photo may be shared through 4K participants' blogs, on the 4K for Cancer staff blog, or on the Ulman Cancer Fund Facebook page using only your first name. *This question is required.