Incubator/Accelerator Program

Accelerator Program

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Full Name: *

First

Last

Email Address *

Phone Number: *

project Educational/Professional What

Educational/Professional Background *

(Briefly summarize your background and relevant experience.)

Project Name: *

What problem are you solving in medicine or healthcare? *

(Please describe the specific issue your idea addresses, and why it’s important)

Describe your solution: *

(Explain your idea, its current status (e.g., concept, prototype, pilot stage), and what makes it unique)

Target Audience or Beneficiaries: *

(Who will benefit from this solution? Describe your target users or patients.)

What stage is your project currently at? *

Cub Scout, Boy Scout, Eagle Scout, etc.

Describe your long-term vision for this project:

(What do you hope to achieve in the next 1-3 years?)

What stage is your project currently at?

What type of support do you need? (Select all that apply)

What impact do you foresee this solution having in healthcare or patient outcomes? *

(Please provide specific examples, if possible)

Do you have a team? *

Please provide further information about your team size and qualifications.