Affiliate Scholar Application Form

Contact Information

Academic Information

Position Title
Required field: If you’re unable to provide this, it may indicate you are not eligible.
Required field: If you’re unable to provide this, it may indicate you are not eligible.
Degrees Month Year Weight
more items
What type of degree are you pursuing now or intend to pursue next?
(Including relation to cancer)
Have you participated in community outreach or fundraising for cancer research yet?
Maximum 2 files.
100 MB limit.
Allowed types: pdf, doc, docx.

ORC ID

ORCID, which stands for Open Researcher and Contributor ID, is a digital identifier (an ORCID iD) that distinguishes you from other researchers. An ORCID can be connected to professional information including affiliations, grants, publications, and more. It helps ensure you get recognition for your contributions to science. If you don’t already have an ORCID, sign up here.

Cancer Research Interest

Which Cancer Center Research Programs or Areas of Interest would you like to get involved with?  (select all that apply)
You can learn more about the research programs on the UC Davis Comprehensive Cancer Center website.