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CIHR-AACR Annual Meeting 2026 Scientist↔Survivor Program® Application
Applicant Information
Please complete this application in its entirety, including the advocate poster section and letter of support, by January 5, 2026. Applicants will be notified of their status by the end of February.
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1.
Applicant
(Required.)
Name
*
Address
*
Address 2
City/Town
*
State/Province
*
ZIP/Postal Code
*
Country
Email Address
*
Phone Number
2.
Have you previously participated in the AACR Annual Meeting Scientist↔Survivor Program®?
No
Yes
If yes, please indicate the year(s):
3.
Please indicate your gender identity.
Male
Female
Nonbinary
Prefer not to say
Fill in the blank
4.
Please check the descriptions below for the racial and/or ethnic groups you identify with. (
Select all that apply.
Black or African American
Alaska Native
Asian
White
Hispanic or Latino/a/e/x
Native American / American Indian
Native Hawaiian or Other Pacific Islander
Other (please specify)
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5.
Please select all descriptions that apply to you. (Check all that apply.)
You do not need to be a cancer survivor to be accepted into the program.
(Required.)
Caregiver
Cancer Survivor
Currently In Treatment
Research Advocate
Policy Advocate
Healthcare Advocate
Fundraiser
If you are a cancer survivor or currently in treatment, please specify the type of cancer.
*
6.
Please indicate the cancer type(s) or focus area(s) of your advocacy. (
Check all that apply.)
(Required.)
All cancers
Brain cancer
Breast cancer
Colon & rectum cancer
Gastrointestinal cancer
Head & Neck cancer
Kidney cancer
Leukemia / Lymphoma
Liver cancer
Lung & Bronchus cancer
Melanoma
Multiple Myeloma
Ovarian cancer
Pancreatic cancer
Pediatric cancer
Prostate cancer
Reproductive cancer
Sarcoma & Soft Tissue cancer
Skin cancer
Stomach cancer
Thyroid cancer
Uterine Cervix
Uterine Corpus
Other (please specify)
