Gateway invites patients, caregivers, and patient representatives to share their stories and their journeys. Help us give hope to people across the country and around the world by sharing your story. It's stories like yours that provide comfort and courage to others whose lives have been touched by cancer. Gateway may use your story to raise awareness and encourage more funding for clinical trials.

Share your story by filling out the form below.

* 1. First Name:

2. Last Name:

* 3. City:

* 4. State Select AL AR AZ CA CO CT DC FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AS FM GU MH MP PR PW VI AA AE AP AB BC MB NB NL NS NT NU ON PE QC SK YT

5. Share Your Story Email

* Email:

* 6. What type of cancer do you demand cures for? Select Bladder Cancer Blood Cancer/Leukemia/Lymphoma Bone Cancer/Sarcoma Brain Cancer Breast Cancer Colon & Rectal Cancer Endometrial/Ovarian Cancer Kidney (Renal Cell) Cancer Lung Cancer Melanoma Non-Hodgkin Lymphoma Pancreatic Cancer Pediatric Cancer Prostate Cancer Skin Cancer (Non-melanoma) Thyroid Cancer Other (please specify)

Please Specify

* 7. Are you or have you been a patient in a Gateway-funded trial? Select Yes No

* 8. Your Message:

*Reminder: Gateway may use your story to raise awareness and encourage more funding for clinical trials.

9. Yes, I would like to become more involved in the work of Gateway in these ways:

Receive e-mail from Gateway for Cancer Research

Become a champion by speaking about your experience

Nominate a patient or caregiver to recognize them for their tremendous strength, dedication and/or support

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