Bio-Link program information

We need the information below to set up your Bio-Link program page.

After you have completed the information on this page, we will set up your program page. Be patient, this part may take a week or two. You will have the opportunity to edit or add to the information you've contributed once your program page is ready.

When your program page is ready, we will send you an email with log in information for the site.

Please note: This form will work best if you use a web browser like Firefox, Chrome, or Safari. Some of the fields might not appear with Internet Explorer.

If you haven't done so, please read "What is a Bio-Link program?" to make sure your program goals align with those of Bio-Link.

Our program meets the criteria for a Bio-Link program and will participate in and contribute to the Bio-Link community.: *

Yes, I agree

Our program is new, we will work towards meeting the criteria

Contact permission: *

I understand that by listing our program on the Bio-Link site I am giving Bio-Link permission to email me as needed.

Institution: *

Program web page: *

Enter the URL for your program's web page.

Mailing address campus 1

Please enter the address for the primary campus that offers this program in the area below.

Address line 1: *

Address line 2:

City: *

State (or territory): *

Zip code: *

If your program has a single leader and multiple campuses with biotechnology, please enter the address for each campus that offers biotechnology in the areas below.

If your college offers biotechnology at multiple campuses, AND has different program leaders at each campus, please complete a separate program form for each campus and add the campus name to the institution name. Example: Ivy Tech Community College Bloomington

Mailing address campus 2

Please enter the address for the second campus that offers this program in the area below.

Address line 1:

Address line 2:

City:

State:

Zip code:

Mailing address campus 3

Please enter the address for the third campus that offers this program in the area below.

Address line 1:

Address line 2:

City:

State:

Zip code:

Mailing address campus 4

Please enter the address for the fourth campus that offers this program in the area below.

Address line 1:

Address line 2:

City:

State:

Zip code:

Program leader information

Name: *

Position: *

email: *

A notice will be sent to your email address with your password and log in information when your program page is ready.

Phone number: *

Contact information

Will another person in your program be responsible for entering information in your program page?

If so, please enter their contact information below.

Name:

Position:

email:

Phone number:

Please name some companies that have hired your students.:

If your program is new, you can leave this field blank.

Communication methods

What methods can we use to communicate with your program? : *

	I belong to this	I plan to sign up or join this group	I do not plan to use this method
The Bio-Link list serve
The Bio-Link Facebook group
The Bio-Link LinkedIn group
Twitter

What is your program twitter name?:

If you or your program have a Twitter account, please enter the Twitter name in the area above.

Does your program have a Facebook page?:

If your program has a Facebook page or group, please paste the link in the area above.

When you submit this form, the information you entered will be emailed to you at the address you entered above. If you do not get this email within a day, please check your spam folder and add Bio-Link to your address book.

Comments? Questions?:

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