Applications for Cancer Programs committee membership will be open from April 1 through June 5th, 2026.
For any questions, please contact cpmembership@facs.org.

Prior to applying, please review the role descriptions below, which provide an overview of responsibilities and eligibility criteria.

CoC Member Position Request Form for FACS

NAPBC Member Position Request Form for FACS

General Information

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* 1. Name and credentials

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* 2. ACS member ID number (if applicable/known)

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* 3. Institution/Organization

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* 5. Business phone

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* 6. Specialty

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* 7. What other ACS Committees are you applying to? (You may apply up to 2)

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* 8. Please list other ACS committee(s) you currently serve on.

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* 9. Please attach a copy of your CV or biographical sketch. (PDF file)
*Please note, you are not required to share any sensitive information on your file.

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* 10. Number of years as a practicing cancer professional after completion of training (enter 0 if you are still in training).

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* 11. Cancer discipline

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* 12. Areas of expertise and/or practice. (Check all that apply)

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* 13. Are you a member of any other cancer programs or cancer-related professional organizations? (Check all that apply)

Committee Interest

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* 14. Please select your committee of interest (select only one). Overviews of specific committees can be found via the ACS Cancer Programs website. Select “member council” if you want to be a general member of the program, but not serve on a specific committee.

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* 15. Please indicate which accreditation program your local institution participates in currently. (Check all that apply)

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* 16. Have you been a site reviewer? (Check all that apply)

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* 17. Have you been a local program leader of your accredited program? (Check all that apply)

Statement of Intent

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* 18. Describe relevant cancer activities that make you eligible and qualified to participate in this committee. (250 words)

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* 19. What contributions would you expect to make towards ensuring that the concerns of all committee members and patients are addressed in the committee's decision-making and activities? (150 words)

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* 20. Describe other relevant activities that make you eligible and qualified to participate in this committee (i.e., work in the field of informatics, analytics, leadership, etc.). (150 words)

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* 21. For CoC applicants: Have you applied for membership on the CoC in the past?

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* 22. For CoC applicants: Is there anyone else from your institution a current member of the CoC?

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