Become a Peer Mentor Guide

Loading....

Become a Firefly Sisterhood Peer Mentor Guide

If you've experienced a breast cancer diagnosis and treatment, you know the roller coaster of emotions that can occur. As a Peer Mentor Guide, you'll provide social and emotional support to individuals affected by breast cancer. Our guides are breast cancer survivors and thrivers who help guide and light the way through breast cancer.

The process to become a Peer Mentor Guide in 3 easy steps:

1. Participate in a phone call with a Firefly Sisterhood staff member. We'll ask you questions about your diagnosis and treatment plan to complete your mentor profile.

2. Attend a training session developed for Firefly Sisterhood to help prepare you to use your personal breast cancer experience to support others in their journey.

3. You will be added to our matching database, and you will be contacted as soon as we have a support seeker whose experience is compatible with yours.

Fill out the form below to get the process started.

Rest assured, your information will remain confidential and will only be used within Firefly Sisterhood's match program.

First Name*

Last Name*

Email Address*

Cell Phone*

Birthdate

Relationship Status

Address, line 1*

Address Line 2, Apt # etc.

City*

State*

Zip Code*

Date of Diagnosis

What stage was your breast cancer at the time of your diagnosis?

What hospital or clinic did you primarily use for your cancer care?

Please share any basic details about your diagnosis and/or treatment plan that you would like to share prior to our phone call.

How did you hear about Firefly Sisterhood?

Race/Ethnicity

By pressing submit, you agree to the participation agreement and the following statements:

I confirm that the information provided in this form is true to the best of my knowledge. I understand that providing false information may disqualify me from participation.
My act of filling out this form gives my consent to participate in the Firefly Sisterhood matching process.

Submit