| Achievements and Acknowledgments |
| 1. When you started the Fundamentals program, which level of education/employment were you at?
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| 2. Please share your experience since completing the Fundamentals program.
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| 3. If you obtained employment after you completed the Fundamentals program, please let us know how the program helped you gain a competitive advantage. E.g:
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| 4. If you were employed when you took part in the Fundamentals program, please let us know how the program allowed you to be more productive at work. Were there any changes in responsibilities, promotion and recognition in your position? |
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| 5. If you took part in an internship, please explain how you attained it and describe your experience.
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| 6. Please list significant educational achievements (e.g. graduation), personal achievements (anything from taking part in your first running race, to starting an MBA program, acceptance into medical school to getting engaged and having a baby) and career moves (e.g. first job, new position, new title, promotion etc).
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| 7. Many of you have expressed a keen interest in pursuing entrepreneurial initiatives since graduating from the Fundamentals program. A few of you have succeeded in launching your own start-up and obtaining patents for your ideas. Would you be interested in participating in a program that prepares you to learn all about taking your ideas to market?
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| Yes No |
| 8. All alumni have special needs specific to their stage of career (e.g. post doc vs. masters student or new hire vs. experienced employee). One of the strategic goals of the Alumni Network is to support the professional careers (academic or non-academic) of all alumni. Please let us know what programs or events you will find most helpful to you at your current stage:
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I am currently a:
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Masters Student
PhD Candidate
Post Doc
Employee (1-3 years)
Employee (4-7 years)
Employee (7-10 years)
Employee (10+ years)
Other (Please specify.)
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| Programs and services most valuable to me at this point in my life are (eg. networking, training courses, one-to-one mentoring, workshops, leadership training, "soft skills" training). Please be specific. |
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| 9. As Alumni of the program, you have developed experience in various areas of expertise. To capitalize on your expertise, we would like to form strategic groups of Alumni Experts to act as peer advisors and mentors in the following areas. Please select all applicable:
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Product Development
Regulatory Affairs
Clinical Trial Management
Business Development
Finance
Venture Capital
Communications
Scientific/Technical Writing
Technical Sales and Marketing
Investor Relations
Other (Please specify.)
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| 10. The above areas also indicate areas that you may want to gain expertise in. Please indicate all areas that you are interested in attaining more training in and to develop further expertise.
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Product Development
Regulatory Affairs
Clinical Trial Management
Business Development
Finance
Venture Capital
Communications
Scientific/Technical Writing
Technical Sales and Marketing
Investor Relations
Other (Please specify.)
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| 11. Almost all of you have kept in touch with the course directors and guest lectures over the years. The Center would like to recognize the directors and instructors that have gone beyond the call of duty and to acknowledge their dedication and passion in sharing their wisdom as mentors and advisors to you. Please indicate all industry professionals that you feel has had played a significant role in your career development and describe the extent of their contribution. The more compelling your description is, the stronger the nomination.
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| 12. The Alumni Network would not be possible without the commitment and support of all alumni. Interaction between alumni members will be the cornerstone of success. I invite you to highlight any alumni you feel that has made a significant contribution to the Alumni Network and should be acknowledge for his or her commitment. Please describe his/her contribution. (Nominees can be peer or self- nominated.)
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| 13. How has the Fundamentals made a lasting impact on you since your graduation from the program?
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| 14. What are your plans in the following time frames?
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| Short-term (immediate): |
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| Short-term (6-12 months): |
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| Short-term (> 1 year): |
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| Contact Information |
| Name |
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Mr.
Ms.
Mrs.
Dr. |
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First
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Middle
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Last (Family)
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| Address |
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Number and Street
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Apartment (if applicable)
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City
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State
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Zip Code
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Phone number to best reach you at:
(xxx-xxx-xxxx) |
Email Address*
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| *Please note that general announcements are sent through the list serve. The email you provided above should be the same as the one used for the list serve. Individual emails are only sent on special occasions. |
| Are you signed up on the list serve? Yes No |
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I understand that all comments provided above can and will be used by the Center for Biotechnology for all efforts focused on fulfilling the vision and mission statements.
Signed: |
| Name: |
Date (mm/dd/yyyy):
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Thank you for your support as Alumni of the
Fundamentals of the Bioscience Industry Program |
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