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Entrepreneurs in Clinical Academia

15-19 October 2018
INSEAD, Fontainebleau, France

Candidate Nomination Form

NOMINATION PROCEDURE

By completing this form, you are nominating a candidate to apply to the Entrepreneurs in Clinical Academia course. Once you have completed the form, the candidate will automatically receive an email informing them of your nomination and directing them to the website in order to complete an application should they wish to.

Personal Details+

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Candidate's details+

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Supporting Information+

Letter of Recommendation

Your supporting letter of recommendation should indicate why you think the candidate you are nominating is suitable to participate in this course. You should include any information related to their current, independently funded clinical research that you think may be relevant to their application.

Should you wish to upload your letter of recommendation for this candidate click the ‘Choose File’ button below.

Please visit this website on a desktop to upload your CV

Alternatively, please use the following free-text box to complete your letter of recommendation. Please indicate why you think your candidate is a suitable candidate to participate in this course. You should include any information related to their current, independently funded clinical research that you think may be relevant to their application. (maximum 400 words)