CHIPS Course Application Please enable JavaScript in your browser to complete this form.CHIPS Course ApplicationThe Potomac Institute for Policy Studies invites early to mid-career professionals with an interest in understanding various section of the the recent groundbreaking CHIPS legislation. The primary focus will be unraveling the execution options available for the various sections including the Incentives, R&D and Workforce aspects. This two half-day executive course is perfect for industry, government, and academic professionals alike with a shared goal of understanding the CHIPS legislation and how their organization might best contribute to the CHIPS mission. In Partnership with: Questions? Contact Lakishia Biggs at Education@potomacinstitute.org or visit us online at www.potomacinstitute.org/events/education Application Deadlines: Virtual Registration Deadline: January 23, 2023 Virtual Tuition:$1600 In-Person Early Bird Registration Deadline: January 16, 2023 In-Person Early Bird Tuition:$1800 In-Person Regular Registration Deadline - January 23, 2023 Regular Tuition:$2000 Course Dates: Wednesday, January 25, 2023 9:00am-1:30pm Thursday, January 26, 2023 9:00am-12:00pm Course Location: Potomac Institute Ballston Headquarters, 901 N. Stuart Street, Arlington, VA 22207Personal InformationName *Current Role and Affiliation *Email *Biography: Please provide a brief bio that can be shared with course instructors and other participants. The bio should be no more than 250 words. *Statement of Interest: Please explain why you are interested in attending this course. Response should be between 50-200 words. *Course Information and LogisticsWill you be joining us in-person or virtually? *In PersonVirtuallyWe will be providing meals and beverages throughout the course. Do you have any dietary restrictions we should be aware of?How did you hear about the course? Please select that method that best applies or more than one if applicable.Potomac Institute WebsiteEmail from Potomac InstituteWord of Mouth (Friend or Colleague)Employer (Supervisor or Organization)Social Media (Twitter, LinkedIn, Facebook, etc.)Newsletter or PublicationProfessional AssociationOtherother:If you selected "Word of Mouth," "Newsletter or Publication," or "Professional Association" above, please let us know the name here.By typing my name and today's date, I confirm the above information is truthful and accurate. I understand that my space in the course is not guaranteed until payment is received. Please type your name below and date below. *FirstLastDateSubmit