Future Biotech Winter Retreat 2019
APPLICATION FORM

Please fill out this form in order to apply for free participation in Future Biotech Winter Retreat 2019

Family name *
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First name *
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Second name *
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E-mail *
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Contact phone number *
Complying to +Х-ХХХ-ХХХ-ХХ-ХХ format
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Pages in social networks
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Age *
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City of residence *
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Your main occupation *
Your English level *
College or university *
That you have enrolled at or graduated from
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Faculty or department *
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Year of graduation *
Specify a future date if you are currently studying
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Where and for how long have you been employed? *
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Tell us more about your main occupation
What are you doing, who is your supervisor, and what have you achieved so far?
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Your scientific and business interests and plans for the future *
What do you expect to be doing in the next 5-10 years?
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Do you have business experience?
Specify which if you do
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Your scientific publications
No more than 5 favorite ones. Specify DOI and PMID if available. Do not include conference abstracts.
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Participation in conferences and workshops
Events you attended in the last 2 years (except those organised by Future Biotech). Do not include your abstracts, specify conference names only.
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Which Future Biotech events did you participate in? *
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Why do you want to participate in Winter Retreat 2019? *
No more than 2000 symbols. Tell us about your achievements and motivation.
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Application bonus
Applicants who take part in the "Bio/mol/text-2018” popular science contest: if your work has been accepted, please check:
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