Michigan Breast and Cervical Cancer Control Program (BCCCP) -

Healthy Asian Americans project

We need your help with the cancer screening promotion program among Asian women age 40 and older residing in Michigan. We need volunteers to help us send the project information to women who may be interested in the program. We need volunteers to help those who are not English speakers and can not drive. If you would like to help, please fill in the form below. We will introduce our project to you in detail by a seminar/workshop or mail. If you tell us know how you helped with cancer screening, by filling in a follow-up sheet, we will send you a gift to express our appreciation. Please let us know if you have any questions, comments, or suggestions. Thank you very much for your concern and support.

Your E-mail address:

Your Name:

Languages you can speak:

Mailing Address:

City: State: Zip:

Phone #:

Fax #:

If you would like to help women who have difficulties getting cancer screening, indicate your availability by checking the appropriate boxes below.

Monday: Morning Afternoon

When you have completed the form, please click on "submit" button below. Our mailing address is:
Healthy Asian Americans Project
University of Michigan School of Nursing
Room 3248, 400 N. Ingalls
Ann Arbor, MI 48109-0482. Toll Free Phone: (877) 625-4683 or Phone: (734) 936-8913.Fax: (734) 936-8910. E-mail: ccjuan@umich.edu .