Contact Information:

Name
Title
Company
Address
City
State
Zip Code
Phone
Email

Areas of Interest:

Technical Area (e.g., biotechnology, nanotechnology, sensors, etc.)
Subject Area (e.g., collaborative research, licensing and/or technology development opportunities, etc.)
Other Area

Action Requested

Contact by phone to discuss mutual areas of interest
Schedule a meeting at OSU to talk with researchers
Send more information related to your interests
Other action

Where did you hear about OSU's research programs?

Publications	NASA Tech Briefs Vanguard Other
Media	Newspaper Radio Television Other
Internet	OSU website Other website
Referral	Colleague Friend Other

Comments

Once you have completed this survey, you will either be contacted by phone to discuss your interest in OSU's research programs, to schedule a meeting or we will send you additional information as it relates to your specific needs.

If you need assistance filling out this survey, contact our webmaster at vpr@okstate.edu.