Cumbria Innovations Platform

Business/enterprise *

First name *

Surname *

Job title

Telephone *

Email *

Web address *

Is your organisation an SME?

YesNoUnsure

Organisation address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Previous work with higher education institutes

Please indicate if you have worked previously in any capacity with Lancaster University or any other higher education institute.YesNo

Please list any contacts you have at Lancaster University

Please indicate the areas in which you are interested *

Ideation workshopsManagement programmeUnique Facility AccessDigital Product DesignNot sure

Your specific needs *

Please describe the specific needs you would like to discuss with us

How did you hear about us? *

Data protection *

I give my consent for this information to be made available to public bodies and independent auditors who may be required to review this data for funding compliance and output verification purposes. Information supplied on this form will be held on computers and may be passed to other areas of Lancaster University and university project partners, which may contact you with details of other services in which you may be interested.I agree

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