Industry Expression of Interest 
Completion of this form will provide access to application details of the recruited PhD student cohort and an invitation to the 1st stage induction, where each student will present a pitch. There is no obligation to continue with the program if applicants are not deemed a suitable fit for your project.

iPREP Biodesign will handle your personal information in accordance with university policies and the Australian Privacy Principles. iPREP Biodesign collects your personal information, including your name, contact details and company details for the purposes of the program and may be used to guide future iterations of the program.
Sign in to Google to save your progress. Learn more
Organisation name *
ABN *
Organisation size *
Organisation address *
Website and social media links
Please email logo for marketing use to the program coordinator (iprepbiodesign@uwa.edu.au)
Clear selection
Desired student placement duration & round. Please refer timelines on the website *
Program contribution (excluding GST) for the bespoke tailored PhD team. The team includes up to 3 PhD students, for up to 3 months full-time (or part-time equivalent) participation. *
Desired participation mode *
Industry mentor #1 details. Please provide full name, position, telephone number and email address *
Industry mentor #2 details (if relevant). Please provide full name, position, telephone number and email address
Provide a brief background on the company. Please note - This will be displayed publicly on our websites and social media *
Provide a project title. Please note - This will be displayed publicly on our websites and social media *
Provide a generalised project scope and list of activities. Please note - This will be displayed publicly on our websites and social media *
List desired capabilities required from the researchers. Include as much detail as possible. For example, broad skills (ability to conduct market research), specific technical skills (AI/ML), or desired disciplines (chemical engineering) Please note - This will be displayed publicly on the website *
Are there any issues or logistics to disclose? (e.g. HSE/classified information/conflict of interest/ethics approvals/requirements to use a university lab) *
If YES, please provide further information
Is the mentor able to provide a necessary amount of supervision and mentoring throughout the placement? Please refer to timelines on the website *
Is the mentor available to attend the induction and final presentation event? Please refer to timelines on the website *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms