ACP Membership Form

Welcome to the ACP Membership registration page, please fill in your details below.

Contact Details

To ensure you are getting the most out of your membership, please provide us with an email address, which is not an nhs.net domain, as your primary email address. Unfortunately we cannot guarantee that the fortnightly ACP newsletter will be received by those with an nhs.net address. 


AMOUNT
100.00
TOTAL

AMOUNT
50.00
TOTAL

AMOUNT
50.00
TOTAL

AMOUNT
0.00
TOTAL


Billing Address



Further Information

The following questions relate to the membership category you have selected. Answering these questions will enable ACP to report on the current status of the profession.  No personal identifying data will be included in these reports. Your participation with providing this information is greatly appreciated.


Registered Specialities (CCT)


Consultant Region


Year appointed to first consultant post


Year appointed to current consultant post


Sub-Specialisation



Commenced Medical Oncology Training (month and year)


What is your Education Provider Network


Are you an academic clinical trainee?


Expected date of CCT (If not known please include current approximation)


Have you completed or do you intend to complete a higher degree?


Do you have a clear sub-speciality (cancer site) interest(s)


PhD


MD


MSc


Current Grade (Non Career Grade Doctor)


Other (Please specify)


Do you intend to complete training in medical oncology and obtain a CCT to CESR (or portfolio pathway)?


Retirement Date


Last post before retirement


Are you still active in any of the following areas?


Support for ACP Application

Applications for ACP Membership need to be supported by two current ACP members. Please give the names of two members below who are happy to support your application and ask them to email to confirm their support to acp@sasevents.co.uk


Participation in Surveys

The ACP is sometimes asked to circulate details of national and global surveys to members. All requests are reviewed and approved by a sub-committee of the ACP Executive Committee for their importance and relevance to members. Please indicate if you would be happy to participate in such surveys?


Membership Directory

The ACP has a Membership Directory which is accessible to members only to view via the ACP website. The directory displays members’ names, hospital, position and sub-specialisation and allows members to contact each other without disclosing direct contact details.


Summary

Privacy Policy

If you would like to view the ACP privacy notice please click here.

 

 

Terms and Conditions
By completing this online form I agree to become a member of the ACP and I am happy to receive communications from ACP regarding my membership, relevant events, activities and general medical oncology news and information. I understand my data will not be shared with third parties.


Payment


Thank you

Thank you for joining ACP and supporting the work of The Association of Cancer Physicians.  You will shortly receive a confirmation email with your invoice.


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