Interest Group Support Form

Support group interest

Use the form below to tell us more about your interest in starting a support group. Through the form, you can also request a copy of our Building Community: Starting and Maintaining a Lung Cancer Support Group guide.

First name*

Last name*

Enter your email*

GO2 can send me lung cancer updates, news, and stories via email.

Thank you for your interest in starting a support group. Thank you for your interest in starting a support group. A member of our team will contact you within 1-2 business days. To help us assist you more quickly—or if you’d like a copy of To help us assist you more quickly—or if you’d like a copy of
Building Community: Starting and Maintaining a Lung Cancer Support Groupyou may provide a few optional details now. If you prefer, you can simply wait for our team to reach out. —

Connection to lung cancer

Interests – please check all that apply

I have no group experience, but I would like to know more about starting a group.I have facilitated groups before, but I have never facilitated a lung cancer specific group.I am gathering information for someone else who is interested in starting a group.Other

If you would like a copy of the Building Community guide, please select your preferred delivery method.

Street address

City

State / Province

Zip code

I consent to collection of the personal information that I have voluntarily provided for the GO2 for Lung Cancer support team to communicate with me.

Thank you providing additional details. A member of our team will contact you within 1-2 business days.

Oops! Something went wrong while submitting the form.

Support group interest

HelpLine

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