UF Health Cancer Center Membership Application

UF Health Cancer Center Membership Application

If you have any questions or need assistance with completing this form, please contact researchadmin@cancer.ufl.edu or call 352-273-8010.
  • Please enter your UF ID or Shands ID number
  • e.g., AACR, ASCO, ASH, ASTRO, IASLC, ONS, etc.
  • Please select all that apply. If you desire to select more than one research interest topic, please follow these instructions: After you select your first choice, click back into the field (not on the X), where the drop down menu will populate all remaining research interest topics. Then continue making as many additional selections as desired, repeating the previous process
  • Accepted file types: pdf, doc, docx.
    Please upload your most current CV.
  • Accepted file types: pdf, doc, docx.
    Please upload your current NIH biosketch