Huntsman Cancer Institute values the people and organizations who are committed to improving the health of our communities, families, friends, and neighbors. We are excited to support your efforts and to provide resources and accurate health education about cancer risk, prevention, and care. Presentations are available virtually (pre-recorded and live) and in person. Please indicate on the form which you prefer. To better serve you, please provide us with more information by filling out the Presentation Form below. To be considered, requests must be received at least 30 days prior to a presentation. Please allow 5-7 business days for a response. Contact Information Name of Group or Organization * Group or Organization Website * Contact Name * Phone Number * Email * Address Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Presentation Information Presentation Date * Presentation Start Time * How many people are expected to attend? * Presentation Format In-person Live (virtual) Pre-recorded (virtual) Presentation Duration 15 Minutes 30 Minutes 45 Minutes 1 Hour Language of Requested Services/Materials English Spanish Both Describe the general audience of this event (i.e. LGBTQ+, American Indian, Hispanic/Latino, seniors, teens). You can list multiple where applicable. * Topic/Cancer Focus (Select all that apply) Breast Cancer Cancer Prevention and Screening Cervical Cancer/HPV Vaccination Clinical Trials Colorectal Cancer Head and Neck Cancers Lung Cancer/Radon Prostate Cancer Skin Cancer Presentations are subject to being moved to an online format or rescheduled within 10 days of the presentation date, in accordance with current COVID-19 and public health notices, guidelines, and the health of staff. If choosing a virtual option, Huntsman Cancer Institute can provide the platform to facilitate the presentation if needed. Information regarding how to access the presentation will be sent via email to the email address listed above. The information regarding how to join the presentation will then need to be distributed among attendees by the requesting organization. Leave this field blank
