The world of cancer information

ICISG logo - the International Cancer Information Service Group The world of cancer information The world of cancer information

INTERNATIONAL CANCER INFORMATION SERVICES GROUP (ICISG)
MEMBER APPLICATION FORM

To help keep the information on your organization current, please complete the form below.

CONTACT INFORMATION:
Contact Person (Name & Title):
Name of your organization:
Mailing Address:
Postal Code/Zip Code:
E-mail:
Web Site:
Phone:
Fax:
   
Do you currently operate a cancer information service
Yes No
If no, are you planning to start a cancer information service
Yes No
   
DESCRIBE YOUR CANCER INFORMATION SERVICE*:
A CIS is a dedicated service established to provide comprehensive, accurate and reliable information about cancer and cancer control to anyone who asks. This one-on-one service can be provided by telephone, email, internet, mail, fax or by personal visit. The service is free and literature may be provided to users.
Mission of your cancer information service:
What type of service to you provide?  
Information
Counseling
Other
How do you deliver your service?
Phone
e-mail
On-line chat (one on one)
Internet (website)
Fax /mail
Visit
How many inquiries do you answer per year?
Languages in which your service is provided:
How many centres do you have, where are they located?

Hours of operation: to

Days:

How is your service funded?
   
INFORMATION SPECIALISTS:
Number of Information Specialists:
Full-time Staff:
Part-time Staff:
Volunteers:
Required qualification/background for Information Specialists:

MINIMUM STANDARDS
Please acknowledge that you are aware of the ICISG's mission and objectives and ICISG minimum standards
   

There are two types of memberships:
Full member: An organization currently operating a Cancer Information Service
Associate member: an organization preparing to launch a Cancer Information Service in the next 2 years

*A dedicated service established to provide comprehensive, accurate and reliable information about cancer and cancer control to anyone who asks. This service can be provided by telephone, email, internet, mail, fax or by personal visit. The service is free and literature may be provided to users.