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 faculty members engaged in or interested in pursuing cancer research.
Please complete the following online application to be considered for membership in the Cancer Institute.
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 four weeks. To learn more about Membership in the Cancer Institute, please click here. If you have any questions, please contact H Lee Smith at email@example.com.
We recommend using Google Chrome, Mozilla Firefox, or Microsoft Edge to fill out this form; you may experience issues if you use Internet Explorer.
On which campus are you located?
Please enter your Institutional ID (if you have one)
Please enter your first name.
Please enter your middle name.
Please enter your last name.
Please provide all of the names you have published under.
Please select all degrees you currently hold.
Please enter your academic title as given by your parent institution (eg. Assistant Research Professor).
Please enter the name of your home department.
Please enter the name of your home Division (if you have one).
Please enter your institutional email address.
Are you applying for membership as a graduate student, postdoc or fellow?
Please identify a faculty sponsor who is a CI member that is familiar with your cancer-related research.
Please select your primary research program of interest.
Please select your secondary research program of interest.
Do you currently have pending submissions for support of your cancer related research?
Please list current pending submission(s) project title, funding agency and date of submission for each pending submission.
Please provide a URL linking to your complete and current publication list (eg. My Bibliography on NCBI).
Please upload a current CV in PDF format.
Please identify your cancer research area of interest as defined by disease site. Select all that apply.
Please identify your cancer research area of interest(s) as defined by type of research. Select one or more responses that best matches your area of interest(s).
Please identify your cancer research area of interest as defined by type of topical focus. Select all that apply.
Please enter one or more keywords that describe your research in more detail.
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.
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.