Business of Science Boot Camp for Science Entrepreneurs - Registration Form

Last Name *

First Name *

PSU Email *

Year Entered PSU as Grad Student (Example: FA 20) *

Primary Supervisor/Advisor *

Advisor's Email Address *

Advisor's Department *

Degree *

PHD

Postdoc or other

Graduate Program (or major, if applicable)

I certify that I have notified my advisor and received approval for my plans to participate fully in this workshop *

Yes

What do you want to accomplish at this bootcamp? Choose the topic most important to you *

Develop team-building skills

Network for my personal and professional gain

Learn more about on-campus research facilities and services in business principles

Improve my knowledge of entrepreneurship

Add to my resume/CV for alternative biomedical career preparation

Broaden my understanding of how regulator principles fit in the "big picture" of the life sciences

Other

If other, please explain

Dietary Restrictions

You will receive a confirmation email upon submission of this form, at which time your registration will be considered "pending." A further email will be sent if and when your registration is approved by the boot camp administrators.