2020 ChicagoCHEC Virtual Community Forum
Thursday & Friday, September 17-18, 2020  / (Jueves y Viernes, 17-18 de septiembre 2020)
11:00am - 1:00pm on both days (ambos días)

Virtual Venue: Zoom (Foro Virtual)
You will be receiving a separate email with Zoom details after completing your registration. Please note, this email will be sent to you within 2 weeks or sooner after submitting your registration.
(Recibirá un correo electrónico con los detalles de Zoom después de completar su registro. Tenga en cuenta que este correo electrónico se le enviará dentro de 2 semanas o antes después de completar su registro.)

PLEASE NOTE: This event will be available in English, Spanish and American Sign language. We will translating the recordings of this event into additional languages following the forum.

For more information, please visit www.chicagochec.org.
(Para obtener más información, visite el sitio web www.chicagochec.org.)


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Name (Nombre) *
Email Address (Correo Electronico) *
Title (Título)
Are you a community member, or are you representing an organization? (¿Es usted un miembro de la comunidad, o está representando a una organización?) *
Required
Name of Organization  (if applicable) / (Nombre de la organización, si es relevante):
Are you planning to attend both days? (¿Va a asistir?) *
Name of Designee, if applicable (Nombre del representante, si corresponde)
Please indicate the Chicago neighborhood(s) where you live and/or work. (Por favor, indique las comunidades en Chicago donde vive y/o trabaja.)
How did you hear about this event? (¿Cómo se enteró de este evento?) *
Required
Would you like to be included on our e-mail list? (¿Le gustaría que incluyamos su nombre en nuestra lista de correo electrónico?) *
We will have simultaneous interpretation in Spanish and Chinese available for the event.  Which language will you be needing?  (Tendremos interpretación simultánea en español y chino para el evento. ¿Cual idioma prefiere?)  PLEASE NOTE: The information you provide here will assist us with identifying additional languages to translate the recordings of this event into following the forum.
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The community forum session topics for this year are: the cancer experience & COVID-19, telehealth, quality of life, and self care for those affected by cancer. If you have any questions you would like experts to answer during our program, please list them here. (Las temas de las sesiónes del foro comunitario incluyen: experiencia con cáncer y COVID-19, telehealth, calidad de vida, y el autócuidado de las personas afectadas por el cáncer. Si tiene algunas preguntas que le gustaría que los expertos respondan durante nuestro programa, por favor anotelas aquí.)
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