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Cancer Research in the Media:
International Workshop for Scientific Journalism
Los Medios y la Investigación del Cáncer:
Taller Internacional de Periodismo Científico
A Pesquisa do Câncer na Mídia: November 12-13, 2012
Oficina Internacional de Jornalismo Científico Buenos Aires, Argentina
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Overview         FAQs        Application Form       
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Registration Form

If you have any questions, please contact NCICRiMedia@mail.nih.gov.

Registration is free, however pre-application is required. The application deadline is 3 August 2012.

   
Contact Information
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If you reside in the U.S., please include your area code with the telephone number, for example 301-555-5555. If you reside outside the U.S., please include your country code.
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Occupation
   

I am a journalist on full-time staff at news publication/outlet
I am a freelance journalist at news publication/outlet
I am not a journalist, but I work in a related field
   
Publication/Outlet


  


  
   
Select all that apply:
Reporter/Correspondent/Columnist/Writer
Editor
Producer
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Select all that apply:
Television
Radio
Newspaper
Magazine
Trade Publication
Online
Blog/New Media
Newsletter
Wire Service
Other - please specify: *
   

Briefly describe the nature of your work over the last 6 months, including the number of health-related pieces you've written/produced and the range of these pieces in terms of topic, length, and placement (2,000 characters or less).

  
   
Please attach 2 to 3 samples that demonstrate your recent work.

Briefly describe your audience, including circulation (100 characters or less).
  
   
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Yes No

Yes No
   
Select all that apply:
No formal education or training in health or science
Undergraduate degree in health/science field
Graduate degree in health/science field
Participation in health/science journalism courses or fellowships - please specify:
Other - please describe in 50 characters or less
   
What is your level of English proficiency?
  Advanced    Moderate    Beginner
  Advanced    Moderate    Beginner
  Advanced    Moderate    Beginner
   
If Spanish is not your native language, what is your level of Spanish proficiency?
  Advanced    Moderate    Beginner
  Advanced    Moderate    Beginner
  Advanced    Moderate    Beginner
   

Years of experience in journalism:   


Yes No
   

Explain why you want to attend and what you hope to gain from participating in the training (2,000 characters or less).
  

Explain how you will apply and maintain what you learn from participating in the training (2,000 characters or less).
  
   

  

Please use this box to provide any additional information you would like to share with the selection committee (500 characters or less).
  
 

General Information

For workshop-related questions, please contact National Cancer Institute staff +1 (301) 496-1515 or NCICRiMedia@mail.nih.gov

Workshop Location


Buenos Aires, Argentina

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