REGISTRATION FOR HIC 2019
This is the application for the 2019 Healthcare Innovation & Commercialization (HIC) course, due by Tuesday, September 3, 2019.

All classes will be held on the Harvard Medical School campus (Longwood Area, Boston). The course will run every Wednesday from 5 - 7pm starting on Wednesday, September 11th through Wednesday, November 13th.

Requirements:
**A $100.00 deposit will be due on or prior to the first class. This check will only be deposited if the requirements (below) are not met.
***Non-Harvard students/post-docs will be eligible to register for the course with a $250 non-refundable deposit

Participants must:
1) Attend at least 8 out of 10 classes
2) Be an active member of his or her assigned team
3) Present a pitch deck to a panel of judges during the final class

If you have any questions, please reach out to harvardhicteam@gmail.com.

Email address *
First Name *
Your answer
Last Name *
Your answer
Position *
PhD, postdoc, physician, medical student, resident or other
Your answer
Field of study *
eg. Neuroscience, molecular biology, biomedical engineering
Your answer
In order to complete this course and retain your $100 deposit, students must fulfill the following requirements: 1) Attend at least 8 out of 10 classes 2) Be an active member of his or her assigned team 3) Present a pitch deck to a panel of judges during the final class. Are you able to meet these requirements? (Please note: Non-Harvard students/post-docs will be eligible to register for the course with a $250 non-refundable deposit). *
If you chose other, please provide any details regarding conflicts.
Your answer
Are you from Harvard or a Harvard Affiliate? *
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