Thanks for Accepting Our Virtual Screening Committee Invitation! Please enroll below so we can tailor Quick-Looks to your interests and expertise. CANCER FUND Screening Committee Enrollment Form "*" indicates required fields HiddenLead Source - QL HiddenQuick Looks Opt In First, tell us who you are.Your Name* Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix or Title First Name Last Name Your Preferred Email Address* Email AddressWe will contact you by email unless you indicate otherwise below.EmailPhone/TextLinkedIn Direct MessageYour Phone Number for Text MessagesYour State of Residence*Select from List BelowAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of CoumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingNon-US ResidentPlease select your state of residence from the drop-down listNon-US Residents: Please select your country of Residence*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsTell us a bit about yourself. Your selections will help us share innovations that are relevant to your expertise and interest.I am . . .* An Oncologist A Physician or Other Healthcare Professional A Health Technology Professional A Cancer Patient, Survivor, Previvor, or Advocate A Investor, or Investment Professional Other Please Tell Us About Your Practice in OncologyOncologist: I am a . . .* Medical Oncologist Clinical Oncologist Surgical Oncologist Radiation Oncologist Hematological Oncologist Other Oncologist: I specialize in . . . (Select all that apply)* Bladder Cancer Brain Cancer Breast Cancer Cervical Cancer Colorectal Cancer Endometrial Cancer Glioblastoma Gynecologic Cancers Head and Neck Cancers Hematological Cancers Kidney Cancer Liver Cancer Lung Cancer Lymphoma Melanoma Mesothelioma Myeloma Ovarian Cancer Pancreatic Cancer Pediatric Cancers Prostate Cancer Renal Cancer Skin Cancer Thyroid Cancer Uterine Cancer Vaginal and Vulva Cancers Other Cancer Brain Cancer Specialty: We have a current focus on Brain Cancers. What type(s) of Brain Cancer is your specialty?* Gliomas (including GBM, astrocytomas, ependymomas, medullablastomas, oligodendrogliomas) Neuroblastoma Other adult Other pediatric Please Tell Us About Your Role in HealthcareHealthcare: I am a . . .* Physician (Non-Oncologist) Physician's Assistant or Nurse Health Care Administrator, Executive Healthcare Innovation Professional Other Please Tell Us About Your Role as a Health Technology ProfessionalHealthcare Tech: I am a . . .* Pharma Professional Medical Technology Device Professional Diagnostics Professional Health Entrepreneur Other Please Tell Us About Your Investment FocusInvestor: I am a . . .* Venture Capitalist Angel Investor Impact Investor Financial Advisor Other Please Tell Us About Your Relationship to CancerPatient/Advocate: I am a . . .* Cancer Patient Cancer Survivor Cancer Previvor Friend or Family of One of the Above Foundation or Advocacy Group Representative Other What Specific Cancer Types do you have passion around?Please Indicate Your Specific Cancer Interests Below* Bladder Cancer Brain Cancer Breast Cancer Cervical Cancer Colorectal Cancer Endometrial Cancer Glioblastoma Gynecologic Cancers Head and Neck Cancers Hematological Cancers Kidney Cancer Liver Cancer Lung Cancer Lymphoma Melanoma Mesothelioma Myeloma Ovarian Cancer Pancreatic Cancer Pediatric Cancers Prostate Cancer Renal Cancer Skin Cancer Thyroid Cancer Uterine Cancer Vaginal and Vulva Cancers Other Cancer What type of community member are you?CANCER FUND is a community of individuals investing together to make a difference. Our community is a diverse group of people. Which of the following best describes you?* I’m not an Investor - I don’t have a savings account, retirement accounts (401k, IRA, etc), nor do I have a brokerage account (like etrade, ameritrade, fidelity, Robinhood, etc). Not Sure... there's more than one type of investor? Non-Accredited. I make less than $200,000/yr ($300,000 if married) or I have less than $1MM in net worth.Third Choice Accredited - I have a net worth greater than $1M or income over $200,000/yr ($300,000 if married). Verified Accredited - My accredited investor status has been verified by a 3rd party such as a CPA, attorney, or investment bank in the past 90 days Click on the Submit button below and we'll send you to your first Quick-Looks.