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ABOUT US
Board of Directors
Benefits
Volunteering
Volunteer Opportunities
Communications
Education
Emerging Leaders
GO (Geographic Outreach)
Membership
Product Show
Social
Student Development
Women in Pharma®
Students
Student Chapters
Career Workshop
Poster Contest
Scholarships
Mentoring
Become a Mentor
Find a Mentor
Mentor Program FAQs
Mentor Program Enrollment
Sponsors
Contact Us
EVENTS
Chapter Calendar
Educational Programs
Social Events
Student Activities
Product Show
Past Events
RESOURCES
Scholarship Foundation
Scholarship Application
Podcast
Documents
Chapter YouTube Channel
ISPE Publications
ISPE Guidance Documents
Member Directory
ISPE Training
ISPE Communities of Practice
Mentoring Program
BLOG
Boston Chapter Blog
Contribute
ISPE Blog
CAREERS
Job Board
Post a Job
Gallery
SCHOLARSHIP FOUNDATION
About the Foundation
Apply for a Scholarship
Donate
Women in Pharma® Intake Form
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Women in Pharma® Intake Form
ISPE Boston Women in Pharma
ISPE Boston Women in Pharma® Intake Form
We are grateful for your interest in the ISPE Boston Area Chapter's Women in Pharma® Committee. In order to make the most of your time we would like to understand the level you would like to participate in the group and tailor communications to you.
Personal Information
Please enter your contact information below. Note: we will not share your contact info outside of ISPE Boston.
First Name
*
Last Name
*
Company/School
Phone
*
Email Address
*
1) How did you hear about the Women In Pharma® (WIP) Boston Chapter?
2) Are you currently an ISPE member?
*
Yes
No
Note that membership in the Women in Pharma® subcommittee is a benefit for ISPE members.
3) How many years of Pharmaceutical/Biopharm experience do you have?
Student
0-5 years
6-10 years
11-15 years
15 or more
Tell us if you are interested in:
Click all that apply
Joining the Planning Committee for Boston of Women in Pharma®?
Interested
Approx. level of commitment: Attend Monthly planning meetings/calls, Assist in planning events, Attend majority of WIP Events, etc.
Day of Event Volunteer?
Interested
Approx. level of commitment: on the day of the event to arrive early and/or stay late to support in your assigned role
Joining a Professional Moai (Mentoring Circle)
Interested
A Professional Moai is a group of 6 to 10 participants who will meet to serve as peer mentors for each other, discussing professional development, career growth, and ways to overcome challenges in the workplace. Approx. level of commitment: ~4 times a year to meet in person and/or virtually for group networking and discussion
What town/city do you live in?
*
Is there a specific person(s) that you would like to be in same Moai with? Please enter his/her name and we will try to accommodate your request.
*
What is your primary objective for participation and what benefits are you look to gain from a Professional Moai?
*
In other words, what gets you excited about joining a Professional Moai?
Would you prefer your professional Moai to meet a location either closer to where you live, where you work, or either?
*
Work
Home
Either near work or home
I would only be able to participate virtually
Would you be interested in being a co-lead of a Professional Moai?
*
Yes
No
Role of Co-lead: there will be 2 to 3 co-leads per Professional Moai and they will help organize and facilitate the Professional Moai get-togethers/discussions. No experience is necessary and support will be provided in terms of sharing best practices, discussion topic ideas, and initial training. Approx. level of commitment: ~ 4 times a year to help organize the logistics for your Professional Moai to meet in person and/or virtually. The co-leads would also help arrange for discussion topics that their Moai participants are interested in.
Please select the types of communications from Boston Women in Pharma that you would prefer:
Receive "Call for Volunteers" and other WIP update e-mails?
Interested in ONLY receiving information on upcoming Boston WIP events to attend?
No interest in further communication from Boston WIP? (We will remove your contact information from our contact list)
Click all that apply
We greatly appreciate your interest in joining Women in Pharma® and sincerely hope to get to you know you better through Boston WIP!
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