Registration deadline: 1st November, 2019
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Full Name (If you arrive with a team, please give the name of the team!) (required)
Email Address (required)
Nationality (required)
Age (required)
Gender (required) MaleFemaleOther/prefer not to say
Phone number (required)
Current Address (required)
Represented organization (eg University, Company, etc.) (required)
Which Faculty?
Are you a PhD student? (required) YESNO
If you are a PhD student, which doctoral school is then?
Have you had any prior training in innovation and entrepreneurship? (required) YES, a full module/course, as part of my formal educationYES, a lecture/workshop as part of my formal educationYES, as extracurricular activity organised by my universityYES, as extracurricular activity organised by an external organisationNO, never
Please introduce yourself in some sentences (If you arrive with a team, please provide the names of the team members and briefly present them.) (required)
Why are you an ideal candidate for competition? (required)
Have you participated in similar events? Do you have relevant experience? (required) YESNO
Where did you hear about this competition? (required) EIT Health webpage, newsletterITD webpage, newsletterUP Doctoral Students' Local GovernmentINPUT ProgramInnoExpoUP Simonyi Business and Economic Development CenterUniversity of Pécs, 3D Printing and Visualization CenterTábitha Child Hospice HouseUniversityFacebook eventOther
Have you heard of EIT Health before? (required) YES I know a lot about EIT HealthYES but i do not know much about EIT HealthNO
„I agree with the EIT Health Privacy Policy (https://www.eithealth.eu/privacy-policy), specifically consenting to how EIT Health process and disclose my data and communicate with me.”
Do you consent to appear in photos/videos from the day which may be used in future marketing and promotional material?
Do you consent to be contacted for a follow up questionnaire?
Registration is over due to oversubscription! Thank you for your understanding!