UF Health Cancer Institute Membership Application – Expedited » Cancer Institute » UF Health Cancer Institute

Last Name*

First Name*

UF ID (8 Digits Only)*

Please enter your UF ID or Shands ID number

Email*

Research Interest Topics*

Please select up to 10 research interest topics. If your interests are not listed, please contact researchadmin@cancer.ufl.edu.

Program Alignment*

Please identify the UF Health Cancer Institute Research Programs for which your ongoing research is best aligned. If you are unsure, please select “unsure.”

CV*

Please upload your most current CV.

Accepted file types: pdf, doc, docx, Max. file size: 125 MB.

NIH Biosketch (Optional)

Please upload your current NIH Biosketch. (Optional)

Accepted file types: pdf, doc, docx, Max. file size: 125 MB.

Acknowledgement of data and photo use*

By applying for Cancer Institute membership, you grant permission for the UF Health Cancer Institute Office of Research Administration to access your UF research portfolio. These data will be used in the membership review process and administrative reporting for Cancer Center Support Grant (CCSG) as required by the National Cancer Institute. Furthermore, your GatorOne photo may be utilized for your UF Health Cancer Institute member profile. If you wish to update this photo, you can do so at: https://my.bsd.ufl.edu/idcard/ mcphoto

For questions regarding data usage and reporting please contact the Office of Research Administration 352-273-8010 or ResearchDevelopment@cancer.ufl.edu.