Where

This is an online event.

Contact

Sue Martin, Executive Director
Hemophilia of South Carolina
864-350-9941
info@hemophiliasc.org

2021 Virtual Innovation Program (VIP) Application

Please fill out the following application information to be considered for approval to the VIP. You will be placed on a list for approval as funding to this innovative program is secured and new members are provided access opportunity. Thank you!

* Required information

Personal Information

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  • Are you a member of Hemophilia of South Carolina!

Business Information

Accommodations & Education Information

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    HSC would like to know if you have the following in your household.

  • If enrolled in the program, I will sign and send in the Device Policy signature page and comply with the policy content.

  • I will fill out the VIP Surveys about the program as requested from time to time.

  • I will visit the VIP informational links and apps when loaded on to the IPad.

  • I will be responsive and involved within the chapter and attend virtual events with my device as I am available to do so.

  • I attest to the above statements being true.


Yes, I would like to receive your email newsletters

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