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TLC Application

Please note: Once you have applied for TLC your name will be submitted to the TLC Chairs for consideration. TLC Chairs, Dr. Sangha and Dr. Baker, will confirm accepted candidates by mid-December. After receiving participation approval, you will be requested to register for the Canadian Lung Cancer Conference as well.
This application IS NOT a registration form for the Cdn Lung Cancer Conference

Please contact HayMatick at for any questions regarding this application.

(* = required field)

*First Name
*Last Name
*Residency Location/Hospital
*Program Director
*Training Level PGY
*Have you attended TLC in the past?    
*Are you aware of the Betty Rice Award?
For information on the Betty Rice Awards please click here.