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Q1. Please enter your name (Last, First)

Q2. What is your major? (If multiple please enter as: major 1, major 2)

Q3. What is your minor? (If multiple please enter as: minor 1, minor 2). Please enter N/A if none.

Q4. Are you a undergraduate, or graduate student?

Q5. What year are you?

Q6. What is your skill level/interest in:

<label class='ExportTag'>Q6.</label> What is your skill level/interest in:
	Experience with:				Interest in:


	None	Some	Moderate	High	None	Some	Moderate	High
Lab Research (Bio/Chem/Materials)
Reading/Analyzing Technical Documents
Reading/Analyzing Patents and Prior Art
PowerPoint
Excel
Graphic Design
Website Development
Video/Photography
Consumer/Market Surveys and Interviews
Physician/Medical Professional Interviews
Proposal Writing and Grant Applications

Q7. How involved are you in non-academic associations/organizations (clubs, CIO's, fraternities/sororities, sports, etc.)

No involvement
Low involvement (member of 1 or 2 organizations)
Moderate involvement (member of several organizations / in leadership of an organization)
High involvement (member of several organizations / in leadership of several organization)

Q8. How do you plan to manage InMEDBio LLC in your schedule? (500 character limit)

Q9. Why are you interested in joining InMEDBio LLC? (1000 character limit)

Q13. What is your uva email? Please enter in full i.e. ph1ai@virginia.edu

Q10. Please attach your resume: (PDF ONLY PLEASE!)