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
Sign in to Google to save your progress. Learn more
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.

Review Terms & Conditions: http://bit.ly/2MxzHn4
Review Privacy Policy: http://bit.ly/3r3SDJm
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 *
Marketing Permissions
Privacy Policy
Hamilton uses the contact information you provide to contact you about our products and services. You may unsubscribe from these communications at any time. For information on how to unsubscribe, as well as our privacy practices and commitment to protecting your privacy, please review our Privacy Policy: http://bit.ly/3r3SDJm
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy