SIOPE Ambassador Network

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The Policy Network in Europe

Please fill out the form to express your interest in joining the network that sets out to change EU legislation for a better future for children and young people with cancer

Email *

Are you a SIOPE member? *

Yes

First Name *

Surname *

Birthdate *

YYYY

Where are you from? *

Which country do you work in? *

Which city do you work in? *

Which hospital/research insitute do you work for? *

Is your hospital part of ERN PeadCan? *

Yes

Which NaPHOS are you associated with? *

Are you part of young SIOPE? *

Yes

What is your motivation to join the SIOPE Ambassador Network? *

Were you previousely already involved in policy/advocacy/volunteering work? *

I am aware that I will be expected to answer to EU Consultations by copying or adopting pre-drafted responses from the SIOPE Policy Team as a minimum time requirement. *

Yes

Send me a copy of my responses.

Submit

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