Needs Intake Form - Columbia COVID Tech Innovation Group
Please complete this form to help us understand your current or future need. Based on your information we will determine how best to respond. We may need to contact you for further information so please make sure your contact information is correct. Thank you - the Task Force Leadership of the Columbia COVID Tech Innovation Group.
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Name *
Email Address (associated with your institution) *
Phone (optional)
Please describe the need in as much detail as possible. *
What category is the need most related? *
Required
How urgent is this need? *
Required
If a physical product, how many will be needed? And over what period of time?
Can you suggest experts in addition to yourself who could advise us on the specifics of the need? If yes and available, please provide their contact information?
If you have an idea for a solution, please describe it in as much detail as possible.
Your affiliate Institution *
Required
What is your role within the institution?
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