FDA Workshop Fall 2015 — Registration Form

Join us for an interactive and informative workshop on the FDA process led by three accomplished FDA experts and consultants. Gain a basic understanding of the FDA approval and licensing program.

Date	Wednesday 10/14/15 at 10:00 A.M. – 3:00 P.M.
Location	UConn Health Center, Farmington, CT, Cell and Genome Science Building
Address	400 Farmington, CT 06030 ¹Edmund and Arlene Grossman Auditorium

¹Note Non-UConn attendee parking is available in Area 3 only

Please fill out our event registration form for the FDA Workshop Fall 2015. All items marked with an asterisk(*) are required.

FDA Workshop Fall 2015

First Name*
Last Name*
Email*
Company / Organization*
Address*
City / Town*
Postal / Zip Code*
State*
Do you require accommodation to participate?*
- Yes(if yes, someone will contact you)
- No
Would you like a 15 minutes meeting with one of the FDA experts?*
- Yes
- No
If yes, what is your area of focus?*
- Medical devices
- Diagnostics
- Cell
- Tissue
- Pharma
Would you like to take a tour of the Technology Incubation Program facility?
If so, which time do you prefer?

College of Engineering Forms

FDA Workshop Fall 2015 — Registration Form

FDA Workshop Fall 2015