General Information

 

The Cancer Support Community is hosting a two-day patient and caregiver advocacy summit. The summit is for:
  • people who have taken or are currently part in an immunotherapy treatment for their cancer diagnosis
  • caregivers of someone who has been a part of an immunotherapy cancer treatment.

The Summit will take place in Philadelphia, Pennsylvania on the weekend of November 5th & 6th. 
CSC is seeking approximately 40 volunteers from across the U.S. to participate.

CSC will reimburse for the cost of travel, meals & lodging that fit within CSC’s travel policy.

(Please make sure you press next at the bottom of this survey to go to the next page)

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* 1. Please provide us with your contact information.

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* 2. During the Summit, would you be interested in sharing your story through (check all that apply):

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* 3. After the Summit, we will ask volunteers to provide feedback on information or resources needed for making decisions about immunotherapy. The Cancer Support Community will provide continued support and guidance to volunteers as they complete their activity. Would you agree to participate in this post-summit activity?

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* 4. Please briefly explain why you would like to participate in the summit.

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* 5. Please read the two statements below and write your initials in the comment box if you have read and understand the terms.
  • I understand that the summit is two days long (November 5th & 6th) and activities will begin around 9:30am Saturday morning and conclude around 3:30pm Sunday. I am available for that entire time frame.
  • I understand that I must travel to Philadelphia, PA for the summit and my travel costs will be reimbursed as long as they fit CSC's travel policy.

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* 6. Which statement best describes you:

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