Tennessee Cancer Coalition Membership Enrollment Form

What brings you to TC2?
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Please select all of the sector(s) in which you work(ed) or volunteer(ed)
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Which of the following best represents your primary affiliation as a TC2 member?
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Which of the following best represents your primary affiliation as a TC2 member?
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Which of the following best represents your primary affiliation as a TC2 member?
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What level of membership are you interested in?

Active: I want to be an active TC2 member by attending meetings regularly, participating in its work, advocating for TC2, and promoting its mission. I will receive newsletters, reminders, minutes, and notices of events, meetings, and trainings, and will share coalition information and opportunities with my networks.

Supporting: I will attend meetings occasionally to stay informed about the coalition's work and support TC2 efforts. As a supporting member, I will receive reminders, minutes, and notices of events, meetings, and trainings, and will share coalition information and opportunities with my networks.

Extended: I am not able to attend meetings, but I would like to receive newsletters, and notices of events, meetings, and trainings.

TC2 currently has 3 statewide workgroups. Please indicate if you would like to be involved in one or more of these workgroups.
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How did you first learn about TC2?
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What is your race?
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