BIOSCIENCE INSTITUTE
Registration Survey
Friday, 11/21/2008
Please complete the survey by Noon on Friday, January 18, 2008
1. First Name:
2. Last Name:
3. Email:
4. WIRED Region:
Select Region
Appalachian Ohio
Arizona State Univ.
Arkansas Delta
California Innovation Corridor
Central & Eastern Montana
Central Kentucky
Central New Jersey
Central New Mexico
Central-Eastern Puerto Rico
Coastal Maine
Council on Competitiveness
Delaware Valley
Denver Metro Region
ETA
Federal Partner
Finger Lakes New York
Florida’s Great Northwest
Greater Kansas City
M H West
Mid-Michigan
No. Willamette Valley Oregon
North Central Indiana
Northeast Pennsylvania
Northern California
Northern New Jersey
Other
Pacific Mountain Washington
Piedmont Triad North Carolina
Rio Grande Valley
So. Central and So. West Wisconsin
South Central Idaho
South Central Kansas
Southcentral and Western Minnesota
Southeast Michigan
Southeast Mississippi
Southeast Missouri
Southeast Wisconsin
Southeastern Virginia
Southern Arizona
Southwestern Connecticut
Southwestern Indiana
Speaker
Tennessee Valley
Wasatch Range
West Michigan
Western Alabama & Eastern Mississippi
5. Type of Organization:
Select Type of Organization
Industry
Economic Development
Higher Education
Community College
K-12
State Government
Workforce System
Local Government
Federal Government
Other (please specify at the space below)
6. If #5 is "Other" then please specify:
7. Our WIRED Region’s focus on Bioscience is (Please check all applicables):
Pharmaceuticals
Medical Devices
Animal Science
Biofuels
R&D/Medical Labs
Bioinformatics
Other (Please Specify)
8. If #7 "Other" checked then please specify:
9. The three most critical pieces of information I hope to gain from this Institute are:
1)
2)
3)
10. The most significant barrier limiting our WIRED Region’s success in Bioscience is:
(Limit to 200 characters)
11. Please provide any additional information that you would like to share with the planners and presenters prior to the Institute:
(Limit to 200 characters)
Please call Julian House at (804) 782-1938 for any questions.
BIOSCIENCE INSTITUTE Agenda
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