You must have Javascript enabled to use this form. 1 Start 2 Complete Company Name * Location * Please let us know where the company is based. Canadian Presence * Yes No Organization Type * Profit Non-Profit Government Government Agencies Other Website * Industry * Contact Person's Name * Contact Person's Email Address * Contact Person's Telephone Number * Business Verticals of Interest * Clean Energy Healthcare Indigenous Issues Financial Services Others Do you have any particular research that you would like to work on with Blockchain@UBC? * - Select -YesNo If yes, could you briefly describe the research you would like to conduct? * Will you be interested in hiring graduate students (Master and PhD students) at Blockchain@UBC to conduct this research? * - Select -YesNo If you don't have a specific research idea, would you be available to explore potential ideas with Blockchain@UBC faculty members? * - Select -YesNo Anything else you would like us to know? * Leave this field blank