HOPA

Please self-nominate or nominate a colleague.

Your Full Name

Email Address

If applicable, what is the nominee’s full name and email address?

* Would the nominee describe their racial or ethnic background as from an underrepresented minority (URM)?

Yes

I don't know

Prefer not to answer

* What best describes the nominee’s title?

Practitioner

Resident

Student/Intern

Technician

Other

* Please write a summary of why the nominee should be highlighted in HOPA's member spotlight. (E.g. nominee's dedication to the oncology patient population/unique perspective or area of focus/novel clinical or research contributions) (maximum 200 words)

Please provide a link to the nominee’s online bio, if applicable.