Volunteer Application

*Name

*City/Town

*State

*Email Address

*Phone Number

*Job Title

*Could you provide a paragraph detailing what you do in your current role and/or skills specific to your current role?

*What is the highest level of education you have completed or the highest degree you have obtained?
High School or EquivalentTechnical/Occupational CertificateAssociate's DegreeBachelor's DegreeMaster's DegreeDoctorate DegreePrefer not to answer

*If applicable, what was the focus/area of study for your higher education obtained? If not applicable, type N/A.

*How many years of experience do you have in the life science industry?
Less than 1 year1-3 years4-6 years7-10 yearsMore than 10 years

*Are you a military veteran?
YesNo

*How would you like to support Biocom California Institute’s programs? Please select all that apply:
As a speaker for career panels (2-hr. commitment / virtual & in-person)As a mock interviewer (1.5-hr. commitment / virtual)As a resume reviewer (2-hr. commitment / virtual)My company can host a company tour for program participants (2-3-hr. commitment depending on company offerings / in-person)Lead professional development training for program participants (2-hr. commitment / virtual)Events volunteer for Biocom California Industry Events (Virtual and In-person, roles and time commitment vary)

*Which California region are you most interested in supporting:
San DiegoGreater LASan Francisco Bay AreaAll of the above, I am available to support any of the regions mentioned above

*Are you on LinkedIn?
YesNo

*Please select your preference below:
I agree to be tagged/mentioned on LinkedIn posts acknowledging my support as a volunteerI prefer to not be tagged/mentioned on LinkedIn