Please indicate the college(s) you prefer to visit. (Every attempt will be made to assign you with the college(s) of your choice. Please understand that this is not always possible.)

Scientists are requested to make presentations to both undergraduate and graduate students.

Please indicate the area you will be traveling to within the next six months where you may be able to coordinate a speaking engagement. Please include corresponding dates if known:

In addition to career (graduate study and industry) discussions with undergraduate students, please indicate the disciplines you are interested in covering during your lectures/seminars below. Mark your preference by starting with the number 1 - as preferred - then 2, 3, etc.
Analytical Methods Development/Validation
Biotechnology
Clinical Research
Drug Development (General)
Drug Information
Drug Discovery
Drug Metabolism
Manufacturing Technology
Medicinal Chemistry
Pharmaceutics
Pharmacoeconomics/Outcomes Research
Pharmacoepidemiology
Pharmacokinetics/Pharmacodynamics
Pharmacy Administration
Preformulation/Physical Pharmacy
Protein/Peptide Chemistry
Regulatory Science
Toxicology/Toxicokinetics
Other

Please list any specific areas that further define your expertise (e.g. dermatopharmaceutics, population pharmacokinetics).

Please attach a 2 to 3 page bio sketch here: