Collaborative Work Contributor Form
This form is intended to be submitted by contributors to the SOP for the Curation of Gene Fusions manuscript ( This form requires login with a Google-linked account, which allows you to return and revise the below information after initial submission.
Preferred Email Address *
The email address at which you would like to be contacted for communications regarding this collaborative work. This does not need to be the address associated with your Google account.
Name *
Terminal Degree(s) *
Institutional Affiliations *
Please provide your primary affiliation associated with your contributions to this collaborative work (e.g. Washington University School of Medicine, St. Louis, MO, USA).
Professional Society Affiliation *
Please provide your professional society affiliations associated with your contributions to this collaborative work (e.g. VICC, ClinGen, CGC, AMP, ASCO, ACMG)
ORCID (Optional)
Please provide your ORCID ( identifier if you wish to have it linked to your contributions towards this work. Your identifier should be of the format NNNN-NNNN-NNNN-NNNN (including dashes) where N is one of [0-9X]
Funding Sources (Optional)
Please provide a list of any sources of funding you want recognized as supporting your effort towards this collaborative work. For NIH awards, please provide funding agency, award number, and PI name.
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