ALCSI College Chapter Application Form

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Please apply here to found and serve as president of a chapter of the American Lung Cancer Screening Initiative (ALCSI) at your college.

ALCSI is a 501(c)(3) nonprofit that is dedicated to promoting awareness for lung cancer screening for individuals at high-risk of developing lung cancer through educational efforts, community outreach, and health literacy engagement. Activities may include advocating for Congress members to support a lung cancer bill, reforming lung cancer screening curriculum at local medical schools, presenting to various stakeholders to build awareness, and working with local health departments to bring actionable change to your communities. Read the constitution for our Harvard College chapter at https://docs.google.com/document/d/1DuyFQJ6SQBvb1xzVVjGhMXh340acNxgkvU32mUXNCis/edit?usp=sharing.

Applications are rolling, so apply as soon as possible.

Email *

What is your name? *

What college do you attend? *

What state is your college in? (N/A is an option) *

Is your college in Canada? *

Yes

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