Applicant Information

Please complete this application in its entirety, including the advocate poster section and letter of support, by December 13, 2024. Applicants will be notified of their status by February 2025.

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* 1. Applicant

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* 2. Have you ever participated in the AACR Annual Meeting Scientist↔Survivor Program®?

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* 3. Please state your gender.

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* 4. Please check the descriptions below that correspond to the racial/ethnic groups which you most identify. Check all that apply.

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* 5. Please check the boxes that best describe you.  Check all that apply. Please note, you do not need to be a cancer survivor to be accepted into the program.

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* 6. Please indicate the cancer type/focus of your advocacy: Check all that apply.

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