I understand that I will serve as a Mentor for a cancer patient paired with me based upon several similarities such as cancer diagnosis, treatment type and treatment stage.


I understand that my participation in NCS Peer Support Program is voluntary.


I understand that my participation in NCS Peer Support Program is as a layperson who cannot give medical, psychological, or legal advice.


I understand that information shared by a Mentor or Mentee is confidential and this confidentiality may be broken if there is concern of physical, psychological, emotional, or financial abuse or neglect to either party or an outside person identified as at-risk by the Mentor/Mentee.


I understand that my Mentee will be asked to maintain confidentiality of information I choose to share with him or her, but Nebraska Cancer Specialists is not liable for any breach of confidentiality.


I agree to provide feedback to NCS staff as collaboration for the NCS Peer Support Program development.


I agree to complete a brief survey after the first contact with each Mentee to whom I am paired.


I understand that I will be paired with one Mentee at a time.


I understand the contact with my Mentee will either be over phone or email, or may be face-to-face in a public setting.