Nominator information

Title *

First name *

Last name *

Institution *

Contact number *

Email address *

Nominee information

Title *

First name *

Last name *

Site name *

Contact number *

Email address *

Attending ASM *

YesNoUnsure

Outline the Nominee’s contribution to GI Cancer Trials studies by addressing the assessment criteria:

Willingness to participate in GI Cancer Trials studies *

Number of GI Cancer Trials studies coordinated relative to tenure *

Strategies employed to promote diverse clinical trial participation *

Innovative workarounds to recruit and retain trial participants *

Engagement with the community *

Patient and community feedback *

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