Before you complete this form:
1. Email CV/Resume to info@sio-central.org
2. Click here to complete the SIO Conflict of Interest survey

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* 1. First Name

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* 2. Last Name

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* 3. Please provide a professional statement, not to exceed 400 words, highlighting education, honors and awards, academic, leadership, public service, or community service efforts. This should focus on your professional qualifications and strengths.

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* 4. Please provide a statement of interest, not to exceed 400 words, describing your interest in serving on the SIO Board of Directors and specifically why your experiences and background would benefit the SIO community.

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* 5. SIO seeks to establish interventional oncology as the fourth pillar of cancer therapy alongside medical, surgical, and radiation oncology worldwide. In less than 300 words, what do you believe should be SIO’s top three priorities in achieving this visionary goal?

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* 6. In your opinion, what are the top two challenges the specialized field of interventional oncology will likely face in the coming 2-3 years and what do you think we can do now to prepare for them?

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* 7. Please list any volunteer experience with SIO or WCIO in the past three to five years.

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