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#22-005014-0002
Supplemental Questionnaire

Last Name
First Name

 

***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***


1.

Do you have a Bachelor's degree?  If yes, please indicate in what field.  Do you have an Advanced degree?  If yes, please indicate in what field.  

2.

Do you have 6 years’ experience in business development, economic development or program management interacting with life sciences enterprises?  If Yes, briefly describe your responsibilities. This experience must also be included on your application. If you do not possess experience in this area, indicate N/A.

3.

Describe your professional experience with the life sciences, healthcare, medical technology, venture capital or similar industries. With your description, include name of employer, job title, dates of employment and main responsibilities. These experiences must also be reflected in the "Work Experience" section of your application.  If you do not have this experience, put N/A in the box below.

4.

Describe your experience in market research, financial analysis, budget management and project management. These experiences must also be included on your application. Please be sure to include name of employer, job title, dates of employment and specific examples of projects and major achievements. If you do not possess experience in these areas, indicate N/A.

5.

Describe your experience in international business development, project management or working in different cultural settings. These experiences must also be included on your application. Please be sure to include name of employer, job title, dates of employment and specific examples of projects and major achievements. If you do not possess experience in these areas, indicate N/A

6.

Do you have working knowledge of Microsoft Office Suite, Google Suite for Business, Salesforce? Please check all the appropriate boxes below that apply.

Excel
Word
Power Point
Google Docs
Gmail
Google Drive
Google Meets
Salesforce

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