Applied Biotechnology Advisory Board Member Questionnaire

The online UW Extended Campus Applied Biotechnology master’s and certificate programs are supported by an advisory board consisting of 12 to 15 representatives from the biotechnology industry who serve as advisors, ambassadors, and referral agents to the program.

Thank you for your interest in serving on the advisory board. Please complete the questionnaire so that we may better understand your interest in joining the board, work experience, and expertise you will contribute as a member.

First Name(Required)

Last Name(Required)

Affiliation

Street Information

City

State

ZIP

Home Phone

Work Phone

Email Address

Tell us about your relevant experience and/or employment.

Please feel free to attach resume/curriculum vitae as a PDF or Word document.

Accepted file types: pdf, doc, docx, Max. file size: 32 MB.

Why are you interested in serving on this board?

What specific area(s) of expertise could you contribute to the board?

What benefits would you hope to realize from participation on the board?

What questions do you have related to this opportunity?

Phone

This field is for validation purposes and should be left unchanged.

Applied Biotechnology Advisory Board Member Questionnaire

UW Applied Biotechnology

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