BioGrad Education Partner University Application Form

BioGrad Education Partner University Application Form

Please complete this short form to register your interest in becoming a BioGrad Partner University.
It is free to register as a partner university and upon approval you and your students will gain access to benefits such as: Free Annual Guest Lectures from BioGrad Scientists, Laboratory Equipment Donations, and Subsidised Laboratory Upskilling Programmes.
Name of University:
Full address of University:

Street Address

Street Address Line 2

CityCounty

Postal Code
Staff Contact Name:

TitleFirst NameLast Name
Staff Contact Role:
Staff Contact Phone Number:
Please enter a valid phone number.Format: (+44) 0000-000-0000.
Staff Contact Email Address:
Application Date (Today's Date):

DayMonthYear
Date
Should be Empty: