Help Guide our Activities

First Name *

Last Name *

Email Address *

What are your areas of interest related to HIV and Malignancy? *

What is your primary area of research? *

Support with which of the following do you think would be impactful in your research or future grant submissions? (Select all that apply): *

Collaboration with other HIV and Malignancy investigators

Enrollment of PLWH and cancer in Boston/US

Enrollment of PLWH and cancer in non-US contexts

Cancer-related biospecimens from PLWH

Clinical and outcome data from PLWH and cancer

Access to programmatic/clinical data for diagnosis and care of PLWH with cancer in Boston/US

Please indicate your interest in the following activities. (Select all that apply) *

Attending quarterly meetings

Collaborating on grant submission/s

Leading subcommittee

Participating in subcommittee

I am not interested in participating

Other, please specify: Other, please specify:

Would you like to be added to a listserv to receive more information about the HU CFAR HIV and Malignancy Scientific Working Group or other seminars and events in this field? *

Yes

No

Do you currently have funded HIV and Malignancy related grants? (If so, please indicate grant number(s) and title(s).

What is your primary institutional affiliation? *

If Other, please list Institution: *

What is your area of expertise? (Select all that apply) *

Are you interested in a (potential) diversity supplement submission if eligible? *

Yes

No

Do you have any additional comments, questions, or suggestions?

Thank you for your feedback!

Visit the HU CFAR HIV and Malignancy Scientific Working Group page for more information.