Applications will 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 the expectations, eligibility criteria, and required skills.

AJCC Member Position Request Form for FACS

AJCC Member Position Request Form for Liaisons
General Information

Question Title

* 1. Name and credentials

Question Title

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

Question Title

* 3. Institution/Organization

Question Title

* 5. Business phone

Question Title

* 6. Specialty

Question Title

* 7. Second Specialty (if applicable)

Question Title

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

Question Title

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

Question Title

* 10. 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.

Question Title

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

Question Title

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

Question Title

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

Question Title

* 14. Please select your committee of interest (select only one).

Statement of Intent

Question Title

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

Question Title

* 16. 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)

Page1 / 1
 
 100% of survey complete.
( Privacy & Cookie Notice

T