Join Us - Grasp Cancer

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Last Name*

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Email*

Additional Email

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About You

This information is confidential and will assist in making meaningful connections between scientists and advocates as well as designing event experiences that match your interests.

Role*

How do you identify? Select all that apply

Patient
Survivor
Previvor
Caregiver
Other

Research or Clinical Specialty*

Select all that apply (max of 3)

Other Research or Clinical Specialty

Cancer Type

Select all that apply (max of 5)

Breast cancer type

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Gastrointestinal cancer type

Select all that apply

Bile duct/Cholangiocarcinoma
Colorectal
Esophageal
Liver/Hepatocellular
Pancreatic
Other

Gynecologic cancer type

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Endometrial/Uterine
Ovarian
Other

Hematologic/Blood cancer type

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Leukemia
Lymphoma
Multiple myeloma

Other cancer type

Current Stage

Site of Metastasis

Select all that apply

N/A
Bone
Brain
Leptomeningeal disease
Lung
Liver
Skin
Don't know
Other

Other Site of Metastasis

Research Interests

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Education & Certifications

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No degree
M.D.
Ph.D.
R.N.
Other

Other Education or Certification

Institution

What do you consider your level of research advocacy experience?*

Beginner: Conference attendee, Less than a year of experience
Intermediate: Grant reviewer, former GRASP participant, Between 1-2 years of experience
Advanced: Participated in multiple advocacy trainings and grant reviews including DOD, 3+ years of experience

Beginner
Intermediate
Advanced

In what stage are you of your professional career?*

Trainee
Junior Researcher or Clinician
Established Researcher or Clinician
Leading Researcher or Clinician

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Bluesky Handle

Year Born

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How did you hear about GRASP?

Gender

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Race/Ethnicity

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Community

Do you identify as a member of the LGBTQIA community?

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Language

If you speak other language(s) in addition to English, which one(s)?

Arabic
French
German
Hindi
Mandarin
Portuguese
Russian
Spanish
Other

Other Language(s)

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I agree to the privacy policy.*

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