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Registration Form

Registration to the Learning and Collaborative Event 2019 is free to Organ-on-a-Chip Technologies Network Members.

To become a member you can register here: www.organonachip.org.uk/register/

Please complete the following form, ensuring you fill in the required fields 

Personal
Title:  
Firstname:  
Surname:  
Affiliation:  
Telephone:  
Email:  
Confirm email:  
Organ-on-a-Chip Technologies Network member:              
Options
Do you wish to additionally attend:
A. The working collaboratively training session (Monday afternoon - places limited)
B. Day 2: Public engagement session (Tuesday 9 April)
This is an opportunity to get involved in designing and delivering a network funded public engagement activity in OOAC technologies. The interactive session will be facilitated by QMUL public engagement team and OOAC directors.
 
Public engagement project lead - opportunity:
If you are a senior researcher with public engagement experience and interested to find out about the role of leading this OOAC funded public engagement project, please check this option.
Note: You must also sign up for the public engagement session on 9 April, see (B) above.
Accommodation
Accommodation offer to ECRs attending the public engagement session

OOACT Network is funding overnight accommodation at QMUL Mile End Campus for up to 10 early career researchers who wish to attend both days and live outside London.
This offer will be available to people who book before 6 March.  We will require those accepting the accommodation offer to write a short summary on their personal reflections of the event.
If you would like to take up this offer, please read the statements below and state if you agree.

  1. I confirm I am an ECR and do not live in London
  2. I confirm that if I cancel my accommodation after 7 March, I may be charged £63 for the booking if the room is not re-let
  3. I confirm that I am willing to write a brief report & personal reflections on the event

Special Requirements
Dietary: Do you have any specific dietary requirements?





Other:
 
Access: Do you have any specific access requirements? If so, please provide information:
Please note: the venue is fully accessible
 
Other: Please let us know if you have any other requirements that would enable/improve your participation in this event:
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