Forum Application

Past participants of Forbeck Forums are invited to apply to chair a Forum on a topic of their choosing. Applications are reviewed by the Foundation's Scientific Advisory Board in both the fall and spring cycles.

If approved, the Foundation will manage all logistics, including meeting materials and on-site support, allowing you to focus fully on the science.

For the best experience, we recommend completing this application on a laptop or desktop rather than a mobile device.

Before you begin — download the Participant List Template

Step 4 of this application requires you to upload a completed participant list in XLS format. We recommend downloading the template now and filling it out as you work through the form so you're ready to submit.

Download Participant List Template (XLS)

Step 1 of 4

Primary / Requesting Chair Person

First Name *

Last Name *

Email Address *

Phone Number *

Institution *

Foundation Affiliation *

Please let us know how you are affiliated with the Foundation

Forbeck Scholar Previous Forum Chair Previous Forum Participant

Previous Forums Attended *

What Forbeck Forums have you previously attended?

Step 2 of 4

Forum Details

Forum Title *

Forum Description *

A short description of the topic you wish to review and the benefits you see arising from the meeting.

Key Words *

Please list any cancers affected by this topic and any other short descriptions that help lay people understand why this topic is important.

Relevance *

Why is this topic novel or relevant now?

Clinical Relevance *

Please note any clinical relevance. If there are none, please put N/A.

Goals *

What would you like to achieve from this meeting?

Additional Notes / Comments

Optional — any additional comments or feedback you would like to share.

Step 3 of 4

Financial Support

Our ability to offer high-quality programs is made possible through the generous support of donors and sponsors, and we continually welcome new partnerships to help sustain and grow our efforts.

Fundraising Efforts *

Are you interested in fundraising for this Forum?

Funding Collaborators *

Do you know of any potential funding collaborators?

Yes No

Funding Collaborators Description

Assistant Information

Administrative Support *

Please let us know if you have an administrative assistant that you work with.

Yes No

Assistant Name

Phone Number

Email Address

Forum Co-Chair

Do you have a co-chair picked out? *

Please let us know if you already have a co-chair lined up.

Yes No

Co-Chair Name

Email Address

Institution

Step 4 of 4

Participant List

Please use the attached participant list sorted into 4 session titles to create a preliminary list of participants and sessions. The Foundation is looking to bring together investigators who do not normally work together or attend the same meetings. If we see groups of people that frequently attend meetings together there is less likelihood of approval.

Your participant list should include:

People from a wide geographic spread
A mix of MD/PhDs
Only 1 person per institution
An even mix of males and females
50/50 mix of senior vs more junior faculty, with a leaning more towards investigators and those active in the lab

16 participants should be selected, with approximately 4 back up participants. The chair who has attended the meeting should be the first speaker. The people who know the format should set the tone of the 2-slide rule and a discussion-based format.

Download the Forum Participant Template (XLS format)

Participant List *

Once it is filled out, please upload it below. Accepted formats: XLS, XLSX, CSV.

Click to upload or drag and drop

XLS, XLSX, or CSV files

Application Submitted

Thank you for applying to chair a Forbeck Forum. The Foundation's Scientific Advisory Board will review your application and be in touch regarding next steps.