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Home » Research at UPMC Hillman Cancer Center » Membership » Membership Application Form

Membership Application Form

Membership Application

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General Information
Name
First Middle Last
Degree(s)
Primary Academic Title*
Primary Department*
Secondary Title
Secondary Department
Faculty Appointment Date*
Date Format: MM slash DD slash YYYY
Work Address*
Street Address Address Line 2 City State ZIP Code
Work Phone Number*
Work E-mail Address*
Research
Research*
Please describe your current cancer-related research, the reason you are seeking membership, and how you envision your role at UPMC Hillman Cancer Center:
Research Areas for Membership
You may select up to two research areas, in order of importance, that best match your scientific interests and in which you would like to participate as a Hillman member. Please note, however, that membership will be awarded in only one program.
Primary Area of Research*
Secondary Area of Research*
Programs
- Biobehavioral Cancer Control Program (Co-Leaders: Catherine Bender, Dana Bovbjerg)
- Cancer Biology Program (Co-Leaders: Ronald Buckanovich, Steffi Oesterreich)
- Cancer Epidemiology and Prevention Program (Co-Leaders: James Herman, Jian-Min Yuan)
- Cancer Immunology and Immunotherapy Program (Co-Leaders: Leisha Emens, Dario A.A. Vignali, Hassane Zarour)
- Cancer Therapeutics Program (Co-Leaders: Adam Brufsky, Edward Chu, Peter Wipf)
- Cancer Virology Program (Leader: Shou-Jiang Gao)
- Genome Stability Program (Co-Leaders: Patricia Opresko, Bennett Van Houten)
Shared Resources
Shared Resources are listed below. Please indicate those you are currently using and any that you might use in the future.
- Animal Facility (Director: J. Newsome) - Facility Page
- Biobehavioral Oncology Facility (Director: F. Jenkins) - Facility Page
- Biostatistics Facility (Director: D. Normolle) - Facility Page
- Cancer Bioinformatics Services (Co-Directors: R. Bao, U. Chandran)Facility Page
- Cancer Genomics Facility (Co-Directors: A. Berndt, Y. Nikiforov) - Facility Page
- Cancer Pharmacokinetics and Pharmacodynamics Facility (Co-Directors: J. Beumer, J. Schmitz) - Facility Page
- Cell and Tissue Imaging Facility (Director: S. Watkins) - Facility Page
- Cytometry Facility (Director: T. Bruno) - Facility Page
- Immunologic Monitoring and Cellular Products Laboratory (Director: Y. Hsu) - Facility Page
- In Vivo Imaging Facility (Director: R. Colen, J. Nedrow) - Facility Page
- Investigational Drug Services (Director: B. Miller) - Facility Page
- Tissue and Research Pathology Services (Director: R. Dhir) - Facility Page
Please provide electronic copies of the following documents at the time of submitting your application:
NIH Biosketch*
Curriculum Vitae*
Including publications
List of Grant Support (Other Support Page)*
Please provide a list of active and pending grant support (research and training).

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UPMC Hillman Cancer Center | 5150 Centre Avenue | Pittsburgh, PA 15232 | 412-647-2811

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Membership Application Form

Membership Application

General Information

Research

Research Areas for Membership

Programs

Shared Resources

Membership