Partner With GMaP

Universities, community organizations, and other minority serving institutions are welcome to partner with GMaP Region 5 in order to help further our mission. Please provide the information requested in this form and we will be in touch.

Name of organization * [* = required]

Name of primary contact * [* = required]

Type of organization (e.g. university, community org, etc.) * [* = required]

Primary contact email address * [* = required]

Partnership category [* = required]

Would you like to receive our e-blast newsletter? [* = required]

Yes

No

Visit our CURE page for more information

Please explain what your organization does and how partnering with GMaP can help our mission to build regional support and efficient management of cancer health disparities research, training, and outreach. [* = required]