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Celebrating Surgical Oncology Design Contest- Submission Form
Create a piece of artwork that reflects the impact and significance of surgical oncology in your life or community.
Designs may include the “SSO” acronym if desired, but it is not required. We encourage creativity and personal expression from all participants.
*
1.
Full Name
(Required.)
*
2.
Email Address
(Required.)
*
3.
Are you an SSO member?
(Required.)
Yes
No
*
4.
Which category best describes you?
(Required.)
Patient of an SSO Member
Family member of an SSO Member
Surgical oncologist / healthcare professional
Other (please specify)
5.
Upload your design file
Choose File
No file chosen
*
6.
Is your submission
(Required.)
Digital artwork
Hand-drawn artwork (uploaded as photo/scan)
I would like to send my original artwork to the SSO office.
Please mail paper submissions to
9525 W Bryn Mawr, Suite 870
Rosemont, IL, 60018
Attn: Emily Butera, Director of Growth and Engagement
*
7.
Please provide a brief description of your design (1–3 sentences)
(Required.)
*
8.
What inspired your design?
(Required.)
*
9.
Would you like to dedicate this design to a specific surgical oncologist?
(Required.)
No
Yes (please provide name)
*
10.
May SSO share your name and story if selected as a finalist?
(Required.)
Yes
No
11.
Upload a photo of yourself (optional, for promotional use)
Choose File
No file chosen
*
12.
I confirm that this submission is my original work
(Required.)
Yes
No
*
13.
I grant SSO permission to use, reproduce, and modify this design for promotional and commercial purposes (including merchandise)
(Required.)
Yes
*
14.
By submitting your design, you acknowledge that you have read and agree to
these terms
.
(Required.)
Yes
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