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Balancing Working & Cancer Webinar Series Registration - 2026

2026 Webinar Registration Form

Cancer and Careers respects and protects the privacy of all visitors and users of our services. CAC is the sole owner of any information collected through its programs. All information submitted will only be viewed by our staff and no identifying information will be shared publicly.


We strive to create programs and services that represent and serve the full diversity of the cancer community. We ask the following demographic questions to ensure we meet this goal.


All live webinars offer real-time closed captioning. If you require other reasonable accommodations to participate, kindly email us at cancerandcareers@cew.org with the subject line “Reasonable Accommodations Request” at least 24 hours before the live event.
1.First Name(Required.)
2.Last Name(Required.)
3.Email Address(Required.)
4.Phone Number (If you plan on dialing-in to access sound, please specify the phone number you will be calling from.)(Required.)
5.Mailing Address(Required.)
6.City(Required.)
7.State/Territory (If outside the United States, please select "Other" at the bottom of the dropdown menu and type in state/province and country)(Required.)
8.Zip Code(Required.)
9.Country:(Required.)
10.Company/Organization (If applicable)
11.Title (If applicable)
12.Age (or average age of patients you serve)(Required.)
13.Which of the following categories, if any, apply to you?: (Please check all that apply.)(Required.)
14.Treatment Status (If applicable)(Required.)
15.Cancer Type (If you have never been diagnosed, please type "N/A".)
16.Which of the following best describes you?(Required.)
17.Are you transgender?(Required.)
18.What are your pronouns?
19.Are you Hispanic, Latine, or Spanish descent? 
20.Which of the following best represents your race/ethnicity? Please select all that apply.(Required.)
21.Do you / the patients you serve speak any language besides English fluently?(Required.)
22.If you answered "Yes" above:
23.Have you ever served in the U.S. military or the military reserves?(Required.)
24.Please choose the option(s) that best reflect your ability status. We are interested in this identification regardless of whether you typically request accommodations. (Please select all that apply.)

I describe myself as a person:
25.Employment status:(Required.)
26.Please select all 2026 sessions you would like to register for(Required.)
CAC will host four Spanish-language webinar sessions throughout 2026. If you or someone you know/work with speaks Spanish, click here for more info and to register.
27.Are you planning to request free continuing education credits (CEs/PDCs) or a general certificate of participation?(Required.)
Current Progress,
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