APPLICATION DEADLINE: Friday, May 25, 2018

 

Question Title

* 1. Primary Contact for Entry

Question Title

* 2. Award
(Please see below for descriptions of each award)

Award Descriptions

Annual Achievement Award
The Annual Achievement Award recognizes individuals or an organization who have made outstanding contributions, nationally and/or internationally, to cancer care and to patients with cancer.

Clinical Research Award
The Clinical Research Award recognizes individuals whose research has significantly and positively impacted the oncology patient, family and/or community.

David King Community Clinical Scientist Award
The David King Community Clinical Scientist Award recognizes individuals who have demonstrated leadership in the development, participation, and evaluation of clinical studies and/or are active in the development of new screening, risk assessment, treatment, or supportive care programs for cancer patients.

Eligibility Criteria
To be eligible for an ACCC Annual Award, applicant/nominee must be able to attend and personally accept award at the National Oncology Conference.

Question Title

* 3. Applicant/Nominee Bio & Statement
Please tell us more about yourself (or the nominee), including accomplishments as they pertain to the award.

Terms of Agreement:

By submitting this form, you agree to meet all posted dates and deadlines.

Completed entry forms may be submitted in one of four ways:

1.) Complete and submit this digital form. 

2.) Mail application to:

Attn: ACCC Award Selection Committee
Association of Community Cancer Centers
1801 Research Blvd., Ste. #400
Rockville, MD 20850

3.) Fax application to 301.770.1949, Attn: ACCC Award Selection Committee

4.) Email your application to bspruill@accc-cancer.org. 

Thank you for your ACCC Annual Award entry. You will be notified by June 29, 2018, on the status of your submission. If you have any questions, please email  bspruill@accc-cancer.org, or call 301.984.9496, ext 206.
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