Become a Member

Membership Application

Please review all membership information prior to completing form.

I. General Information

Name (first, middle, last):
Degree(s):
Primary Academic Title:
Primary Department:
Secondary Title:
Secondary Department:
Faculty Appointment Date:
Work Address:
Work Phone Number (xxx-xxx-xxxx):
Work Fax Number:
Work E-mail Address:

II. Please describe your current cancer-related research:

III. Reason you are seeking membership and how you envision your role in UPCI:

IV. UPCI Research Areas for Membership:

Using the list below please indicate the two research areas that best match your scientific interests and in which you would like to participate as a UPCI member. Select in order of importance.

Primary:
Secondary:

Programs
  • Biobehavioral Medicine in Oncology Program (Leader: D. Bovbjerg) link
  • Biochemoprevention Program (Leader: S. Singh) link
  • Brain Tumor Program (Leaders: H. Okada, I. Pollack) link
  • Cancer and Aging Program (Leaders: G. Chatta, S. Studenski) link
  • Cancer Epidemiology, Prevention and Control Program (Leader: J. Weissfeld) link
  • Cancer Genetics Program (Leader: D. Whitcomb) link
  • Cancer Immunology Program (Leaders: R. Ferris, O. Finn) link
  • Cancer Stem Cell Program (Leaders: P. Chaudhary, T. Cheng, A. Donnenberg) link
  • Cancer Virology Program (Leader: P. Moore) link
  • Head and Neck Cancer Program (Leaders: J. Grandis) link
  • Hematologic Malignancies Program (Leader: P. Chaudhary) link
  • Lung and Thoracic Malignancies Program (Leader: J. Greenberger, J. Siegfried) link
  • Melanoma Program (Leaders: D. Becker, J. Kirkwood) link
  • Molecular and Cellular Cancer Biology Program (Leader: B. Van Houten) link
  • Molecular Therapeutics and Drug Discovery Program (Leaders: M. Egorin, J. Lazo) link
  • Prostate Cancer Program (Leaders: J. Nelson, Z. Wang) link
Research
  • Breast Cancer Research (Leaders: A. Brufsky, R. Johnson) link
  • GI Cancer Research (Leaders: H. Zeh, B. Lembersky (interim)) link
  • Gynecologic Oncology Research (Leaders: R. Edwards, J. Kelley) link
  • Liver Cancer Research (Leaders: D. Bartlett, D. Geller) link


V. UPCI Core Facilities:

Core Facilities are listed below. Please indicate those you are currently using and any that you might use in the future.

  • Animal Facility (Director: J. Newsome) link
  • Basic Genomics and Proteomics Facility (Directors: R. Ferrell, P. Wood) link
  • Biobehavioral Medicine Facility (Director: F. Jenkins) link
  • Biostatistics Facility (Director: J. Schlesselman) link
  • Cancer Biomarkers Facility (Directors: W. Bigbee, T. Conrads)
    • Illumina Platform (Director: M. Romkes) link
    • Luminex Platform (Director: A. Lokshin) link
    • Mass Spectometry (Directors: W. Bigbee, T. Conrads) link
    • Microarray Platform (Director: W. LaFramboise) link
  • Cancer Informatics Services (Directors: M. Becich, U. Chandran) link
  • Cell and Tissue Imaging Facility (Director: S. Watkins) link
  • Chemical Biology Facility (Director: J. Lazo) link
  • Clinical Pharmacology Analytical Facility (Directors: J. Beumer, M. Egorin) link
  • Clinical Research Services (Director: S. Mulcahy) link
  • Cytometry Facility (Director: A. Donnenberg)
    • Flow Cytometry Facility and Amnis Image Stream Platforms (Director: A. Donnenberg) link
    • Array Scan Platform (Director: M. Lotze) link
  • Glassware Facility (Director: J. Neitznick) link
  • IMCPL Facility (Directors: L. Butterfield, T. Whiteside)
    • Immunologic Monitoring Laboratory (Director: L. Butterfield) link
    • Cellular Products Laboratory (Director: T. Whiteside) link
  • In Vivo Imaging Facility (Directors: J. Mountz, E. Wiener)
    • MRI (Directors: F. Boada, E. Wiener) link
    • PET/CT Facility (Director: J. Mountz) link
    • Optical (Small Animal) (Director: S. Thorne) link
  • Investigational Drug Services (Director: B. Miller) link
  • Lentiviral shRNA Facility (Director: R. Sobol) link
  • Peptide Synthesis Facility (Director: R. Montelaro) link
  • Tissue and Research Pathology Services (Director: R. Dhir) link
  • Transgenic and Gene Targeting Facility (Director: J. Khillan) link
  • Vector Core Facility (Directors: A. Gambotto, R. Sobol) link

Please provide electronic copies of the following documents at the time of submitting your application:

  • Current Curriculum Vitae and NIH Biosketch, including publications.
  • List of Grant Support: Please provide a list of active and pending grant support (research and training).

Independent of this form, you will need to email your CV, NIH Biosketch and Grant Support as attachments to:

Lisa George
georgel@upmc.edu
phone: 412-648-6580