Komen College Ambassador Program Application

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

As a college ambassador, here’s what we’re asking you to:
1. Meet with the team and learn more about the Komen College Ambassador Program.  2. Learn more about breast cancer so you’re willing to educate others. 
3. Create an educational pop-up for your fellow college students.

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This field is for validation purposes and should be left unchanged.
Are you currently enrolled as a student?*
By providing information about your racial and ethnic groups, you help ensure that Komen offers culturally responsive programs and services. With which racial and ethnic group(s) do you identify?
Please choose all that apply.
Select the option that best describes you.

Thank you to our partner