Create an Account
FAQ
Log In
Register Here
Whether you are looking for a guest speaker or access to our online materials (or both), please fill out the registration form below.
Already have an account?
Click here to log in
.
I am a...
(Required)
Please select one...
Teacher
Student
Other
Have you been assigned a Classroom Code?
(Required)
Select...
Yes
No
Are You?
Select...
Student Ambassador
Other
Are You?
Select...
School Staff (Administrator, School Nurse, Counselor, etc)
Community Member
Cancer Pathways (Staff, Board Member, Volunteer, etc)
Other
Name
(Required)
First
Last
Email
(Required)
Password
(Required)
Enter Password
Confirm Password
Position / Title
School / Organization (if applicable)
Location
County
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Program Preference
(Required)
Check all that apply
In-Person Guest Speaker Presentation
Live, Virtual Presentation
Online Courses and Materials
Professional Development
Please select top 3 preferred dates
(Required)
MM slash DD slash YYYY
Please select top 3 preferred dates
(Required)
MM slash DD slash YYYY
Please select top 3 preferred dates
(Required)
MM slash DD slash YYYY
How did you hear about us?
Another teacher/school
School conference/seminar
Communication from Cancer Pathways
Participated in another Cancer Pathways program
Online Search
Social Media
Other
How did you hear about us: Other
Hidden
Admin
Hidden
Teacher
Hidden
Teacher ID
Hidden
School
Hidden
Address
City
State / Province / Region
ZIP / Postal Code
Hidden
School County
Hidden
School Zip
Hidden
Class ID
Hidden
Slug
Hidden
Date Registered
MM slash DD slash YYYY
