The UNC Lineberger Cancer Network provides instructional design, event, and course support, and much more for your oncology-related activities and content.Please complete the form to determine activity eligibility.* - Indicates required field Name * Email * Are you a UNC School of Medicine or UNC Health staff or faculty? Yes No Organization What organization or institution are you affiliated with? Please help us understand what type of activity you would like UNCLCN to support. Select all that apply. Live Event Webinar Hybrid Event Online Course(s) Other... Please help us understand what type of activity you would like UNCLCN to support. Select all that apply. Other... Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20232024202520262027 Time Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Does this event need recording? Yes No Not Sure Brief description of your request. * Please provide a brief description of your request. If this is an event, please list a location if known at this time. Leave this field blank Math question * Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. 4 + 2 =
