Patient Advocate

First name *

Last name *

Email address *

Phone Number *

Please explain your interest in germ cell tumors and your reasons for wanting to work with MaGIC: *

How did you hear about MaGIC? *

How do you feel your skills and experiences would enable you to fulfill the requirements of this role? *

What is your experience with research – have you participated in a clinical trial or other research? Were you ever asked to take part in research of any sort? *

What would you hope to achieve as a MaGIC patient advocate member, both in fulfilling the role itself and also in your own development? *

What are your interests when serving as a patient research advocate? Note: This information does not commit you to any research project particular role. It simply gives us a better idea of which opportunities may be of interest to you. You may select more than one: *

Attending regular committee meetings to provide the patient’s perspective
Helping review research grant applications
Advocating for germ cell tumors and raising awareness of important issues with community organizaitons, government or funding agencies, either through direct contact or through media/social media
Fundraising activities to help support MaGIC
Being involved in the creation of support networks for germ cell tumor patients and families

Given that we are an international consortium, it is always useful to know what languages our members are knowledgeable in. Please list the languages you speak below. *

Having read the role and description, please describe any specific training that you would find of value to support you in this role. We will provide mentorship for the successful applicant in the scientific elements of what we do and in effective advocacy. *

9. Please provide the contact details for a reference (this does not have to be a current MaGIC member). *

Please upload your Resume or CV *

Drop your file here or click here to upload

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