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Welcome Message

The Winthrop P. Rockefeller Cancer Institute brings together a wide-range of investigators with the common goal to prevent, cure, or better understand cancer to the benefit of all Arkansans. The Cancer Institute provides an infrastructure designed to nurture collaborations and ensure successful execution of high quality cancer research, especially peer-reviewed cancer-related research and investigator-initiated clinical trials. Membership in the Cancer Institute is open to all faculty members of UAMS engaged in or interested in pursuing cancer research.

Please complete the following online application to be considered for membership in the Cancer Institute. The application will take 10-15 minutes to complete, and you will need the following information to answer all questions:


  • The number of peer-reviewed cancer-related manuscripts you have published in the last two years.
  • A URL linking to your complete and current publication list (this is optional, but very useful for individuals with common names.)
  • Your current CV in Word or PDF format.

Once your online application is submitted, it will be reviewed by research program leaders, the Cancer Institute Membership Committee and the Cancer Institute Executive Director. You will be notified of your membership status via email within eight weeks. To learn more about Membership in the Cancer Institute, please click here. If you have any questions, please contact H Lee Smith at hsmith@uams.edu.

Campus

On which campus are you located?

Institutional ID
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Please enter your Institutional ID (if you have one)
ID TypeID ValueManage
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First Name
You must answer this question in order to submit the form.
Please enter your first name.
Middle Name
Please enter your middle name.
Last Name
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Please enter your last name.
Degrees
You must answer this question in order to submit the form.
Please select all degrees you currently hold.
Academic Title
You must answer this question in order to submit the form.
Please enter your academic title as given by your parent institution.
Department
You must answer this question in order to submit the form.

Please enter the name of your home department.

Division
You must answer this question in order to submit the form.

Please enter the name of your home Division (if you have one).

Email
You must answer this question in order to submit the form.
Please enter your institutional email address.
Program Details

To learn more about our Research Programs, click the links below:

Research Program
Please select your primary research program of interest.
Research Program (Second Choice)
Please select your secondary research program of interest.
Reasons
You must answer this question in order to submit the form.
Please briefly describe your reason(s) for wanting to be a member of the Cancer Institute.
Shared Resources Details

To learn more about our Shared Resources, click the links below:

Shared Resources
You must answer this question in order to submit the form.
Please select all of the Cancer Institute Shared Resource(s) you expect to use.
CCTRA
Do you use the Cancer Clinical Trials and Regulatory Affairs (CCTRA) office?
Cancer Related PI
Are you currently a Principal Investigator (PI) on any extramurally funded cancer-related grants or projects or have you been within the last 2 years?
Funding Sources (Cancer Related)
You must answer this question in order to submit the form.
Which funding sources are supporting your cancer-related grant(s) or project(s)?
Cancer Related COI
Are you currently a subcontractor (Co-I or co-PI) on any extramurally funded cancer-related grants or projects or have you been within the last 2 years?
Funding Sources (Cancer Related) COI
You must answer this question in order to submit the form.
Which funding sources are supporting your cancer-related grant(s) or project(s)?
Currently Submitting
Are you currently in the process of submitting an application for support of your cancer related research?
Proposed Funding Agency
You must answer this question in order to submit the form.
What is the funding agency that would support the proposed research?
Application Deadline
You must answer this question in order to submit the form.
When is the application deadline?
Other Personnel
You must answer this question in order to submit the form.
In addition to yourself, who are the other key personnel listed on the grant application, and what roles do they serve in the research project?
Personnel NameRoleManage
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Clinical Trial PI
Are you currently a PI, Co-I or Co-PI on an Investigator-initiated clinical trial or have you been within the last 2 years?
Clinical Trial Funding
You must answer this question in order to submit the form.
Please select all of the funding sources that are supporting your clinical trial. Comments should further specify the funding source, if appropriate (eg. for an NCI trial, you might enter “SWOG” into the comment box; for an industry trial, you might enter “Genentech” in the comment box)
OptionCommentManage
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Cancer Related Publications
You must answer this question in order to submit the form.
How many peer-reviewed cancer-related manuscripts have you published in the last 2 years?
MyBibliography URL
You must answer this question in order to submit the form.
You may provide a URL linking to your complete and current publication list (eg. My Bibliography on NCBI).
Collaborative Research
You must answer this question in order to submit the form.

Briefly describe your collaborative cancer-related research that would fit within your research program of interest.

Collaborative Research (Inter Programmatic)
You must answer this question in order to submit the form.
Briefly describe your collaborative cancer-related research that would fit within the other research programs or cross boundaries between research programs.
Applicant CV
You must answer this question in order to submit the form.
Please upload your current CV in PDF or Microsoft Word format.
Other Support Document
You must answer this question in order to submit the form.

Please upload a document showing your current other grant support. You can find a template, instructions and sample of this document at this link. If you do not have any current grant support, please create a document in the NIH other support format and state "None"

Research Interest - Disease Site
You must answer this question in order to submit the form.

Please identify your cancer research area of interest as defined by disease site. Select all that apply.

Research Interest - Type of Research

Please identify your cancer research area of interest as defined by type of research. Select the one response that best matches your area of interest.

Research Interest - Topical Area
You must answer this question in order to submit the form.

Please identify your cancer research area of interest as defined by type of topical focus. Select all that apply.

Research Interest Narrative
You must answer this question in order to submit the form.

Please provide a brief paragraph describing your cancer research projects and interests. This content will be used to evaluate your application. If you become a member, this content may also be used on the Cancer Institute website or in Cancer Institute communications about research ongoing in the Cancer Institute.

Agreement
You must answer this question in order to submit the form.

Membership in the Cancer Institute is reviewed at the time of application and annually thereafter. While some data that is required for this annual review can be generated from our campus data systems, we will be requesting some information directly from you on occasion. Data that we collect and review on a regular basis includes your UAMS appointment, cancer related grant activity, clinical trial activity, publications, and shared resource usage. We do not collect or track salary data. Acceptance of membership in the Cancer Institute indicates your willingness to allow us to access this information from campus systems on your behalf and your commitment to respond in a timely manner to direct requests for information from Cancer Institute Administration.


*By initialing and clicking submit, I confirm that I have reviewed the Winthrop P. Rockefeller Cancer Institute Membership Policy and agree to follow the guidelines set forth in this policy.

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