LAO Resource Submission and Update Form

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Instructions: This request form is submitted to add, remove, or update resources on the LAO Resources page. Typically, only one resource request should be recorded on a single form. However, if an LAO designee has multiple resources with the same request information, one form may be completed for multiple requests. LAOs complete all questions on each page of this form and click "Submit" to submit the request.

Request Date *

YYYY

Requester Name *

Lead Academic Organization *

Northwestern Cancer Prevention Consortium (NWU)

University of Arizona Cancer Prevention Clinical Trials Network (UAZ)

International Cancer Prevention Clinical Trial Consortium (MDA)

Early Phase Clinical Cancer Prevention Consortium (UMI)

The MW Chemoprevention Network (UWI)

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