If you see this message, your browser doesn't have the features needed to view this form, nor does it support the JavaScript needed to redirect it to an alternate page. Please click this link.

Form Image
Biotechnology and
Life Sciences Survey 2007
Form Image Form Image
1.
2.
3.
Please list your company's major biotechnology and/or life sciences products, services and/or activities:
Same as mailing
Please fill in the name, title and email address for the chief local official of this company:
The following business functions are performed in the Charlotte Region, which includes Alexander, Anson, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, and Union Counties (check all that apply):
1.
2.
3.
Please complete the form and click the "Send Data" button at the bottom when you are done.
Thank you!
Form Image
The data collected on this survey will be used by members of the North Carolina Community College System BioNetwork for educational programming and business assistance planning.
Which of the following categories does your company fit under (check all that apply):
(i.e. clinical trials, diagnostic and therapeutic therapies, pharmaceuticals, vaccines, etc.)
(i.e. waste processing, chemicals, environmental sciences, laboratory equipment and supplies, etc.)
(i.e. food processing and production, agricultural products, forestry, bio-fuels, natural products, pesticides and fertilizers, animal and veterinary biotechnology, etc.)
(i.e. aquaculture, marine environmental sciences, etc.)
(i.e. statistical and computational processes, software development, etc.)
4.
5.
Please list the top three (3) companies that supply you with biotech/life sciences related supplies or services:
Are your biotech/life sciences related supply and service needs being met?
6.
6a.
If yes, are they being met from within the
?
Company Name:
Division/DBA:
Mailing Address:
City:
State:
Zip:
Street Address:
City:
State:
Zip:
Phone Number:
Email Address:
Web Address:
Fax Number:
Total number of full-time employees:
Total number of part-time/seasonal employees:
Name:
Title:
Email:
Form Image Form Image Form Image
Please list any specialized training, education, certifications, or degrees that your company requires for its employees:
Do you anticipate needing additional employees in the next two years?
7.
8.
9.
6b.
9a.
Please list any gaps in biotech/life sciences related service and supply needs that you could fill for others:
Form Image
11.
12.
13.
14.
This online form was completed and submitted by:
Please indicate what percent of your workforce falls into each of the following educational categories:
Less than high school degree
High school degree / GED
Certificate or diploma
Two-year college degree
Four-year college degree
Post-baccalaureate degree
0-20%
10.
Thank you for completing the survey!
If you have any questions concerning this form,
please contact Cheryl Roberts, Project Coordinator, at 704.330.6688 or mailto:cheryl.roberts@cpcc.edu.
Form Image
The Center for Applied Research, PO Box 35009, Charlotte, NC 28215
The only public information released will consist of directory type information, including product or service. Please check this box if you prefer not to be included in the public database.
(i.e. researcher, technician, management, support staff/clerical, etc.)
a.
b.
c.
d.
e.
f.
21-40%
41-60%
61-80%
81-100%
Form Image
If not, what are the gaps in service and supply needs?
If yes, how many?
Please list the top three (3) job categories of your workers:
Please list any job categories that your company is having a difficult time filling locally:
What other resources would be helpful to you?
Please share with us any additional comments you may have:
Name:
Title:
Phone:
Email Address:
Created with TeleForm 10.1 eForm Option
Copyright © 1997 - 2006
Cardiff, an Autonomy company