CLS Innovation & Entrepreneurship Advisor Interest Form
Contact Details
First Name
Last Name
Job Title
Phone Number
Email Address
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Current Employer
Highest level of education?
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High School Diploma
Associate's Degree
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Other
LinkedIn Profile
Region
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Bay Area
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State
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Zip
International Address
You can provide your bio/resume by providing a Google drive link here. (optional)
Expertise?
(select all that apply)
Startup Founder
C-Level Executive
Regulatory
Strategic Partnerships
Licensing
Business Development
Reimbursement
IP
Manufacturing
Scaling
CMC
(Chemistry, Manufacturing, and Controls)
Go To Market
Commercial Planning
Finance Model
Milestone Planning
Valuation
Venture Capital
Investing
Fundraising
Other
Details
Technology areas of expertise?
(select all that apply)
Medical Devices
Therapeutics
Diagnostics
Digital Health
Drug Device Combination Technologies
Platform Technologies
AI Enabled Drug Discovery & Drug Development
Gene Therapy
Cell Therapy
Small Molecules
Biologics
Software & data
Other
Details
Disease areas of interest?
(select all that apply)
Oncology
Neuroscience
Autoimmune
Metabolic Diseases
Women's Health
Mental Health
Hereditary Disorders
Respiratory
Cardiovascular
Infectious Diseases
Pediatric Indications
Ophthalmology
Aesthetics & Dermatology
Wellness
Other
Details
Any other interesting aspects and accomplishments you would like to share with us?
How would you like to engage with CA Life Sciences Innovation and Entrepreneurship?
Business Discounts & Cost Savings
Advocacy & Government Relations
Programs & Community Initiatives
Networking and Events
Innovation & Entrepreneurship
Racial and Social Equity
Industry Reports and Analysis
Professional Development
Thought Leadership (
subject matter experts or industry thought leaders
)
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