Thank you for taking the time to fill out this questionnaire. We appreciate you and your dedication to the Society of Surgical Oncology!

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* 1. First Name

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* 2. Last Name

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* 3. Credentials

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* 4. Your Institution

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* 5. Which membership category best describes you?

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* 6. Why are you proud to be a member of SSO?

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* 7. What would you say to someone who is considering becoming a member of SSO?

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* 8. Please provide a high resolution headshot.

PNG, JPG, JPEG file types only.
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* 9. By filling out this form, I consent for the Society of Surgical Oncology (SSO) to use my responses for promotional purposes, including, but not limited to, SSO emails, social media, events, and website.

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