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| Personal details
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Please complete all contact details but note we promise not to share your personal contact details with anybody.
Note: Your password should be at least 8 characters. |
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User name * |
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Password * |
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Confirm password * |
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Title |
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Other title |
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First name * |
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Last name * |
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Email address * |
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Telephone
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Address line 1 * |
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Address line 2 |
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Address line 3 |
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Town |
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County |
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Postcode * |
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Gender |
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Ethnic origin |
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Other ethnic origin |
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Age group |
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| Privacy
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Make viewable to organisations |
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If you select yes, you will be visible on the Cancer Voices search section for public view
If you select no, will not be visible on the Cancer Voices search section for public view
Whichever you choose, you will be able to see opportunities you are matched to once you log in and you will be sent emails about new opportunities as they are added to the website. |
| Opportunity choice
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Opportunity choice * |
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| Your cancer experience
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What you choose here is important as you'll receive opportunities based on what you select i.e. if you select that you underwent chemotherapy treatment, you'll receive all opportunities that are looking for people who underwent chemotherapy. You can tick as many that interest you.
Choose the cancer type that best describes the cancer type you have experience of, you can also write the specific name in 'other'.
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How have you been affected by cancer? |
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Other |
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What cancer types do you have experience of? |
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Other |
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Do you consider that you have a rare cancer? |
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What cancer treatments do you have experience of? |
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Other |
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| My cancer voice
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What you choose here is important as you'll receive opportunities based on what you select i.e. if you select responding to survey's/questionnaires you'll receive all opportunities that are looking for people to complete a survey or questionnaire. You can tick as many that interest you.
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Type of involvement you would be interested in? |
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Other |
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Have you already used your experience of cancer to influence services - for example as part of a group/ committee or forum? |
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| In which areas do opportunities interest
you?
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Choose the nation and/or regions where opportunities are based that you'd like to hear about |
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National (i.e. for national surveys and campaigns) |
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Regional (i.e. local to where you live, choose up to two that relate to your area) |
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| Training
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Have you had any training, formal or otherwise, in being a user representative? |
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Would you like to know more about the training Macmillan offers for people affected by cancer? |
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Would you be happy for us to contact you with some details about cancer voices training? |
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| Communication
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Let us know how you'd like us to keep in contact with you |
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Would you like us to keep you updated with new opportunities with email alerts? |
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Would you like us to send you information about events related to cancer voices? |
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Would you like to receive publications such as newsletters relating to cancer voices? |
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Would you like us to keep you updated about cancer voices activities? |
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| How did you hear?
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How did you hear about cancer voices? |
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Other * |
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