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Membership profile

Welcome to OLS

Please complete this form so that we may retain the most pertinent information about your company in our database and on The Ohio Life Sciences Directory. We are focused on serving as Ohio’s best resource within the life sciences community.

"*" indicates required fields

Please enter the name as you wish it to appear in the OLS Member List and the Ohio Life Sciences Directory.
Primary Membership Email*
Please identify the link that you’d like published in the Ohio Life Sciences Member Directory.
Please enter a link to your personal LinkedIn profile. If you do not have one, or choose to not include, leave this field blank. Please do not enter a company profile here.
What does your organization do?
Check the most relevant sector that reflects the primary work done by your business.
What are one to three key benefits your organization offers to fellow members and industry colleagues?
Submit up to five keywords to further raise your visibility in our online directory. Enter terms such as capabilities, market sectors, and other relevant terms (each separated by a comma).
Please list any industry certifications such as ISO 13485, FDA Medical Device Registration, LEED, MBE, etc.
Primary Ohio Business Address*
If your company has multiple Ohio locations, enter additional sites you wish to have listed in the notes box at then end of this form. If your primary office is a residence, and you do not wish it to be published in our online Directory, please note that in the next question. **For members without an Ohio location, please enter the primary address you wish associated with your membership.
Can this address be published in our Directory?*
Check “no” if you wish to keep the street address private, such as in the case of a home office. The street address will not be included in your profile in the Ohio Life Sciences Directory. Only city, state, county, and 5 digit zip code will be listed.
This field is hidden when viewing the form
This number will be listed in the Ohio Life Sciences Directory. Leave blank if you choose to not publish a phone number online.
This field is hidden when viewing the form
General Contact Email
Please provide a contact email that visitors to your profile in the Directory can use to contact you for more information. We suggest using the same email listed on your organization’s “contact us” page (if applicable). If you choose to not list an email, leave this field blank.
This is used for internal tracking purposes and will not be published.
This is used for internal tracking purposes and will not be published. Disregard this field if you are only located in Ohio.
Please describe any key business goals.
Examples: personally referred, word of mouth, trade publication, social media, etc.
Primary Workforce Contact
Who is the primary person at your organization for HR and Workforce matters?
Workforce Contact Full Name
Contact Title
Contact Email
Additional Member Contacts
Membership applies from the board room to the benchtop. Please add any additional contacts that would like to receive OLS communications. Contacts can also be added at any time in the future. Click the PLUS icon to add extra rows.
Additional Contact Full Name
Contact Title
Contact Email
 
Use this space for any additional comments, information or questions.