**SEER*DMS Newsletter Content Pre-Submission Form**

This pre-submission form is for members of the SEER*DMS community who would like to share content via the SEER*DMS newsletter. Please complete the contact information below and share a brief summary of the content you would like to submit for the newsletter, and a SEER*DMS team member will follow up with you for more information.

If you have any questions, email seerdms@nih.gov.

Question Title

* 1. Please fill in the contact information below:

Name

Registry

Email Address

Question Title

* 2. What type of newsletter content are you submitting?

Descriptions of SEER*DMS best practices or quality assurance processes
(Best practices typically demonstrate evidence of success, affects something important related to SEER*DMS, and has the potential to be replicated at other registries)

Summaries of your registry's SEER*DMS-related initiatives

Feature articles about your registry, such as a story about how your registry improved operations, etc.
(Registry photos are also welcome)

Other SEER*DMS topics of interest (informational)

Other (please specify)

Question Title

* 3. Please provide a paragraph quickly summarizing the content you would like to submit to the SEER*DMS newsletter.

Thank you for your interest in submitting content for the SEER*DMS newsletter.