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About CAC2
Working together today for a future without childhood cancers.

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ABOUT CAC2

Who We Are

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WHAT WE DO

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WHO MAKES IT POSSIBLE

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ADVOCACY

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Pending Federal Legislation – Take Action!

AWARENESS

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RESEARCH & TREATMENT

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ICRP

FAMILY SUPPORT

About Family Support

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ABOUT MEMBERSHIP

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JOIN CAC2

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Events
CAC2 EVENTS

ANNUAL SUMMIT

Coalition Against Childhood Cancer 2025 Annual Summit - Children's National - Washington DC

June 15-17, 2025 - Recap Coming Soon!

CAC2 WEBINARS

Latest Webinar

CAC2 Webinar–“Beyond the Signature: Demystifying Informed Consent in Childhood Cancer”
June 5, 2025
Watch On-Demand »

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Supporting Org Application

Home » Join » Supporting Organization Application

Step 1 of 3

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Verify that you do NOT represent a non-profit with a primary interest in childhood cancer issues:(Required)

Supporting Organization Memberships in CAC2 is available to any non-profit or for-profit organization that does not qualify as a Childhood Cancer Organization but wishes to support CAC2’s mission. If you represent a childhood cancer organization please return to the Join page and complete the application for Organization Membership as a Childhood Cancer Organization.

YES I AM A SUPPORTING ORGANIZATION

Has your organization been a Supporting Member in the past?

No

Yes - Rejoining CAC2

Begin the Membership Application Process

Your Organization's Name:

Membership Dues Level (Based on Annual Revenue):(Required)

About Your Organization

Organization Mailing Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

IRS Designation:

Your Organization's Tax Exempt Number (EIN)

Primary Member Contact:(Required)

First Last

Please designate the person who will serve as the main point of contact for your organization.

Primary Member Contact Email:(Required)

What is the best email to reach the Primary Contact?

Primary Member Contact Cell Phone:(Required)

What is the best phone number to reach the Primary Contact?

Member Organization Profile

We will use the information in this section to populate your organization's profile on the CAC2 website.

Organization Logo File:(Required)

Max. file size: 80 MB.

Please upload an image file.

Mission:(Required)

Describe your organization's mission.

Main Organization Phone:(Required)

How can the public reach your organization by phone?

Executive Director or Lead Contact:

Organization Website:(Required)

Geographic Scope:(Required)

If you serve a region or a locality, please specify the geographical area.

Optional Focus Area Information: If you are a non-profit, please indicate the percentage(s) that best describes the focus your organization’s activities. Estimates are fine and should total to 100%. Otherwise skip this question.

Optional Organization Information for Nonprofits

CAC2 tracks the impact our nonprofit members have in a variety of ways. Please help us by completing the following questions about your organization's reach and impact. For profit organizations can skip to the question: How did you learn about CAC2?

Annual Revenue:

Annual gross revenues from the organization’s most recent fiscal year (please consult Page 1 of your latest Form 990 or 990-PF).

# of Patients Impacted / Served:

# of Families Impacted / Served

# of Hospitals or Research Institutions Funded:

Number of Full Time Employees:

Number of Part-Time Employees:

Number of Volunteers:

Please provide an annual estimate.

Collaboration and Your Organization

We like to celebrate and call attention to collaborative success. Please describe any collaborative effort(s) in which your organization participates in the pediatric cancer community – with other CAC2 members and/or outside of CAC2.

How did you learn about CAC2?

Invitation to Join

Internet Search

Twitter

Referral

Media

Facebook

Event

Other

Request to Add Supporting Associate Members

Supporting Organization Members can offer CAC2 membership to their staff and Board Members for no additional charge. Please designate associate members for your organization below, and CAC2 will add them under your account.

First Name

Last Name

Email

Your Contact Information

Is the Primary Member also the Billing Contact?

Yes

No

Billing Name:

First Last

Billing Email:

Billing Phone:

Billing Details

How do you want to pay for your membership?(Required)

Credit Card

Pay By Check / Wire / ACH

Billing Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

Card Details

Cardholder Name

Total

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