First Name:
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Required
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Middle Name:
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Last Name:
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Required
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USC Employee ID (7 digits):
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USC ID (10 digits):
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Email:
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Required
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Office Phone:
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Required
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Institution:
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Location:
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Building:
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Room:
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Required
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Mail Code:
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Required
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Academic
Title:
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Administrative Title:
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Degrees:
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or not in list enter new:
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Departments: |
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Schools: |
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First Join USC at:
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Required   
Required
Format in 4 digit
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ORCID (if applicable):
If you currently do not have an ORCID, you are still eligible to apply for membership.
If you are approved for membership and do not have an ORCID, the NCCC Research Administration team will be in contact with you and help you obtain one.
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Based on your cancer focus, please select the primary scientific program
with which you will affiliate. Click here for a description of existing
programs. |
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In a statement of at least 500 words (maximum 1500) please upload a document
which addresses these three areas:
a. Cancer focus of research.
b. Interest in joining the Cancer Center.
c. Explanation of which scientific program best fits with your cancer
focus, or if none do, what potentials for collaborations with Cancer Center
members might develop. |
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Please upload your current NIH type biosketch (non-modular): |
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Please upload your current NIH type other support statement: |
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PubMed Search Expression(s): |
Required
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Please go to the PubMed website
and use their Search Builder to create a search expression, so
all your documents can be found efficiently. Paste that search expression here (everything in the "Search Box"). eg: "Shackleford-G AND mammary tumor" Separate
keywords by semicolon. This will be used for publication retrieval as well as our website search engine. |
Keyword Comments: |
Required
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To avoid spammed submissions, please enter this Security Code: |
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