Women in Pharma® Intake Form - ISPE San Diego Chapter

ISPE San Diego Women in Pharma® Intake Form

We are grateful for your interest in the ISPE San Diego Chapter's Women in Pharma® Committee. In order to make the most of your time we would like to understand the level you would like to participate in the group and tailor communications to you.

Personal Information

Please enter your contact information below. Note: we will not share your contact info outside of ISPE San Diego.

First Name *

Last Name *

Company/School

Phone *

Email Address *

1) How did you hear about the Women In Pharma® (WIP) San Diego Chapter?

2) Are you currently an ISPE member? *

Note that membership in the Women in Pharma® subcommittee is a benefit for ISPE members.

3) How many years of Pharmaceutical/Biopharm experience do you have?

Tell us if you are interested in:

Click all that apply

Joining the Planning Committee for San Diego Women in Pharma®?

Interested

Approx. level of commitment: Attend Monthly planning meetings/calls, Assist in planning events, Attend majority of WIP Events, etc.

Day of Event Volunteer?

Interested

Approx. level of commitment: on the day of the event to arrive early and/or stay late to support in your assigned role

Please select the types of communications from San Diego Women in Pharma that you would prefer:

Receive "Call for Volunteers" and other WIP update e-mails?

Interested in ONLY receiving information on upcoming San Diego WIP events to attend?

No interest in further communication from San Diego WIP? (We will remove your contact information from our contact list)

Click all that apply

We greatly appreciate your interest in joining Women in Pharma® and sincerely hope to get to you know you better through Boston WIP!

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