Hamilton Neuros Syringe Program Application
Hamilton proudly supports individuals pursuing higher education and research, by granting a Neuros Syringe weekly* as a tool for education and discovery. Complete the form below and and join the weekly competition to win a Hamilton Neuros™ syringe of your choice.
*1st of March to 31st of May 2021
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DEADLINE: Applications must be completed as testimonials (ex: http://bit.ly/3eu3LeQ) and received by every Friday.

SUBMISSIONS: Multiple applications may be submitted as long as the application is different.

EVALUATION: Applications are evaluated on every Monday and the winner is notified by e-mail latest on Tuesday the following week. Evaluation criteria:
1. Potential to positively impact the research
2. Degree of innovation
3. Composition and effort

Note: You will NOT be able to save your progress while completing the application form. You may format your responses in a word processing program, then “paste” the finished product onto this form under the appropriate headings.

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First name *
Last name *
Organisation *
Title/Position *
Department *
Email *
Phone *
Address *
Describe the application or technique where the Hamilton Neuros Syringe will be used? *
How would using the Neuros Syringe benefit your work? *
For your application, do you have any suggested product improvements that would help your work? *
How did you hear about the Hamilton Neuros Syringe Program? *
Are you 18 years of age or older? *
Terms and Conditions *
Required
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