1 Start 2 Complete Organisation contact information Organisation Name * In what Boost4Health region are you located? * NoneDenmark, DKGreater Manchester, UKKent County, UKProvince of Gelderland, NLProvince of Noord Brabant, NLProvince of Overijssel, NLRegion Catalonia, ESRegion of Bretagne, FRRegion of Hauts-de-France, FRRegion of Pays de la Loire, FRRegion of Wallonia, BEState of Baden-Württemberg, DE Street * Number * Postal code * City * Country * Website Upload your logo * Files must be less than 2 MB.Allowed file types: gif jpg jpeg png. Organisation sector information What type of solutions are you able to provide to suit the needs of life sciences SMEs? Technological/Validation solutions Market solutions What kind of supplier are you? (Max. 2 values) Academic/University Bioprocess Solutions Provider Biotech Association Biotechnology Company - Therapeutics Biotechnology R&D Company - Diagnostics / Devices and Diagnostics Services Biotechnology R&D Company - Food & AG Clinical Trials Solutions Provider Economic Development Financial services/investor/venture capitalists Foundation / Patient Advocacy / Global Health Government Hospital/Healthcare Provider Incubator Services Industrial & Environmental Innovation Network IT/ Software Solutions Provider Lab Equipment Supplies Provider Lab/scientific services platform Living Lab Non-Profit/Patient Advocacy Medtech Company Pharmaceutical Company Research Institution Scientific Society Service Provider - CMO / CRO Service Provider - Professional Advisor /Consultant / Legal / Accounting Tech Transfer Technology Park & Science Park Test bed facilities Others Which sector(s) of activity does your organization cover? (Max. 5 values) Accounting and Financial Services Business development Business Services Consulting (Other) Facility Management Information Technology Insurance Services Investor Relations Management Consulting Market studies Marketing & Promotion Patent and Intellectual Property (IP) Services Professional Recruitment Publishers / Industry Data Services Regulatory Requirements Other (specify) Which sector(s) of activity does your organization cover? (Max. 5 values) Other (specify) Which sector(s) of activity does your organization cover? (Max. 5 values) Anaesthesiology Animal Health Products Animal models Bacteriology Biobanks Bioinformatics Biomanufacturing Biomarkers / Biomarker Discovery Biomaterials Biosecurity Biosimilar medicinal products Biotechnology sector Bone, Joint and Cartilage Cancer / Oncology Cardiovascular Companion Animals Companion Diagnostics Cosmetics Dentistry Dermatology Diagnostics / Devices and Services Drug Discovery / Research & Development Endocrinology / diabetolog Enhanced Nutrition Food Technology and Processing Gastroenterology Gene / Cell Therapy Gene Disorders Generics medicinal products Genomics Glycomics Gynecology / senology / Obstetrics Hematology Hepatology High Throughput Screening Hormone Therapy Imaging Immunology In vitro Diagnostics Infectious diseases Inflammation / Autoimmune Disorders Lab Equipment and Supplies Livestock Marine biology Medical Devices Medical Technology sector Metabolic Diseases Metabolomics Microarrays Microbiology Molecular biology Molecular Diagnostics Musculoskeletal Nanobiotechnologies Nephrology Neurology /Central Nervous System Nuclear medicine Nutraceuticals Nutrition for human and animal health Ophthalmology Orphan Diseases Orthopaedics Otorhinolaryngology Pain Management Pediatrics Personalized Medicine Pharmaceutical sector Physiotherapy Pneumology Poultry Protein Therapeutics Proteomics Psychiatry Rare Diseases Regenerative Medicine Reparative Medicine Reproductive medicine Respiratory / Asthma Rheumatology Screening Software / Analysis and Certification Software / Modelling Specialty Pharmaceuticals Tissue Engineering Toxicology Transcriptomics Transgenic Animals Translational medecine Transplant Medicine Urology Vaccines Virology Other (specify) Which sector(s) of activity does your organization cover? (Max. 5 values) Other (specify) What type of user/patients do you have - for validation purposes only None Patients Children/adolescents Adult Elderly Disabled people Mix Health professionals Health organizations Other... What type of user/patients do you have - for validation purposes only Other... What number of users/patients have you had in the last 6 months - for validation purposes only - None -None1-2020-100100-500500-1000More than 1000 Contact person Contact name Your position in the organisation Email address If you already have a Boost4Health profile use a different e-mail address Telephone number (including international dialing code) Activity description Please give a short description of your organisation What type of service/support can your organisation provide to SMEs? What are the 3 top equipment, infrastructure or setting and/or support technology available in your organisation? What specialist knowledge or expertise can you offer to SMEs? What are the possibilities for your organisation to develop long-term partnerships with SMEs (through EU research programs, etc.)? Are there any restrictions on the availability of your organisation to support SMEs? Does your organisation have any accreditations or ‘quality labels’? Describe where your expertise can be used by SMEs. Is your expertise targeting your regional market or are you targeting foreign market)? Confimation * I am happy for Boost4Health Partners to contact me to keep me informed about the Boost4Health Project by Email or Phone. Our Privacy Statement is available here. I acknowledge that I have the right to withdraw my consent for Boost4Health Partners to hold or process my personal information.
