Critical Minerals 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 the importance of the challenges and opportunities as they relate to critical minerals and rare earth elements. This one-day executive course is perfect for industry, government, and academic professionals alike with a shared goal of understanding the intersection of policy, science, and technology.Questions? Contact Lakishia Biggs at Education@potomacinstitute.org or visit us online at www.potomacinstitute.org/events/education Early Registration Deadline: February 24, 2023 Early Bird Tuition: $1300 Regular Registration Deadline: March 24, 2023 Regular Tuition: $1500 Course Date: Wednesday, April 5, 2023 Course Location: Potomac Institute Ballston Headquarters, 901 N. Stuart Street, Arlington, VA 22207Personal InformationName *Current Role and Affiliation *Email *Are you a US Citizen? *YesNoIf no, state your country of citizenship.Will you be joining virtually or in-person? *VirtuallyIn PersonBiography: 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 LogisticsWe 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