Academic Member Application
Salutation
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Please Select
Mr
Mrs
Ms
Mx
Dr
Professor
Name
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First Name
Last Name
Preferred Pronoun
She/her
He/him
They/them
Job Title/Position
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Location Postcode
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Location of Academic Institute
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Scotland
Other UK
Europe
International
Academic Institute
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Academic Email
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example@example.com
Phone Number
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-
Area Code
Phone Number
Academic Institute Website
Which option best categorises your area of interest/research?
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Arts, Humanities & Social Sciences
Biological Sciences
Business & Law
Engineering
Medicine & Veterinary Medicine
Physical Sciences
Tech Transfer/Commercialisation
Other (not listed above)
Please describe your key areas of interest below:
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Which of the following member benefits are you interested in? Please select all that apply?
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Events
Funding opportunities and signposting
Funding applications reviewer panel
Networking
Scale up facility access
Scale-up support
Scientific/technical expertise
Scottish Fermentation Network
Skills development & training
Student placements
Speaking/presenting opportunities
Mentoring
Other
EDI Information - Gender
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Woman
Man
Non-binary
Prefer not to say
Other
EDI Information - Age
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under 20
20-29
30-39
40-49
50-59
Over 60
Prefer not to say
EDI Information - Ethnic Origin
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White British
White Scottish
White Irish
Other White background
Asian or Asian British - Indian
Asian or Asian British - Bangladeshi
Asian or Asian British - Pakistani
Chinese
Other Asian background
Black or Black British- African
Black or Black British - Caribbean
Other Black background
Mixed- White & Black African
Mixed – White & Asian
Mixed- White & Black Caribbean
Other mixed background
Not known
Prefer not to say
Other not listed above
EDI information - Do you have a disability as defined by the Equality Act 2010?
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Yes
No
Prefer not to say
How did you hear about our memberships?
Please Select
Biotech Innovators
External contact
External event
External Funding
External social media
External website
IBioIC event
IBioIC news bulletin
IBioIC Project Funding
IBioIC social media
IBioIC website
Other networks
Scale up/FlexBio collaboration
Staff contact
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