CBCRP Advocate Registration
Thank you for your interest in keeping California's breast cancer research relevant to those affected. This registration is for residents of the state of California interested in working with scientists on studies funded by the
California Breast Cancer Research Program (CBCRP)
. You can find more information about advocate and community representative involvement in our research projects
Most people should be able to fill this form out in about 30 minutes, but some may want to look up information about past training or research experience. Please note that if you stop the registration process without completing the form, you will have to start over either by
to remove your old entry or by using a different email address.
We thank the
Dr. Susan Love Research Foundation
for hosting our registration site.
If you have any questions or concerns, please call us at 888-313-2277 or
Registering as an Advocate
By filling out this form, I agree to be part of a confidential database of California-based breast cancer and health advocates and community representatives interested in collaborating on breast cancer research projects. I understand that I will receive periodic emails about CBCRP and its programs.
I consent to the following:
• CBCRP staff may use my responses about the region of California in which I live, my interests, my background and my experience to identify possible researcher collaborators; and
• CBCRP staff may share my contact information with individual California scientists who seek advocate input on a research project.
I understand that responding to this survey does not obligate me in any way to participate in a CBCRP-sponsored research project.
Do Not Fill This Out