Membership Application | Student Step One Step Two Step Three: Confirmation Fill Out Your Application | Student Please fill out the following form if you are interested in becoming a member of the Food and Drug Law Institute. All fields are required unless otherwise indicated. Questions? [email protected]202-222-0910Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 2Personal InformationName *FirstLastCurrent Location: City *Current Location: State *Current Location: Country *Email *University/College Name *Degree ProgramExpected Graduation Date *LinkedIn (optional)Proof of Enrollment * Click or drag a file to this area to upload. Please upload a copy of your current class schedule, unofficial transcript, or other proof of full-time enrollment. PDF only.NextMembership InterestsWhat are you hoping to achieve through participating in the FDLI Student Membership Program? *How did you hear about this program? *Please include any person or institution who referred you.Interest Areas *DrugsMedical DevicesBiologicsFoodDietary SupplementsCosmeticsTobacco and Nicotine ProductsVeterinaryCannabisOtherOtherIs there a particular FDLI product or program you are interested in? Any other comments? (optional)Acknowledgement *I certify that the information above is true to the best of my knowledge and understand that my application is subject to review by FDLI.Submit admin2023-02-14T09:57:22-05:00
