2020 Virtual HealthTech Showcase Application

Apply to be one of the 50 early-stage HealthTech companies to exhibit at the 2020 HealthTech Showcase on November 5 and the chance to receive $10,000 at the competition on November 6. Application deadline is Friday October 16, 2020.

Please carefully follow the instructions.

* Required item

How many times have you exhibited at the Healthtech Showcase? *

Never Once Twice More than twice

If you are part of an incubator or accelerator, please specify. Otherwise state NO. *

Full Name of person representing the company *

First Name Last Name

Title *

E-mail *

If an alternate email contact for booth visitors is desired, list it here

Phone Number *

Area Code Phone Number

Website, if you have one

Full Name of Company or Opportunity *

Include designation such as Inc. LLC etc.

Which HealthTech Sector best describes your company? *

Medical Device Diagnostic Healthcare IT Other

Year Founded *

Company Location *

15-word at-a-glance company profile: (see sub label for requirements) *

Provide a 15-word company profile that that will be displayed alongside your logo. This should indicate the heathtech sector, type of produce or service, and other information that would attract an investor. Any text beyond 15 words will be removed.

100-word company profile/summary: (see sub label for requirements) *

Any text beyond 100 words will be removed. Do not include how the funds will be used in this section.

Which of the following best describes your technology's state of development? *

Concept - no prototype completed Prototype developed - pre-clinical Prototype developed - clinical Prototype developed - pre-approval Prototype developed - approved Paying customers

3-minute Company Pitch Video - provide Unlisted YouTube link *

Must include https:// and anything over 3 minutes will be truncated.

How has your work been funded to-date? *

How much funding are you seeking? *

Raising: *

Seed Series A Series B Series C Series D or later Debt Other

How will you specifically use the proceeds? (see sub label for requirements) *

Text beyond 25 words will be truncated.

Special Requests/Comments

Company Logo - please upload (1080px X 1080px) *

1080px X 1080px

Photo of company representative - please upload (1080px X 1080px) *

1080px X 1080px

Image that can represent the product or service - please upload (1080px X 1080px) *

Browse Files

1080px X 1080px

*

I Have Read and Agreed to the Terms and Conditions

Click here to view the selection process, and Terms & Conditions.

Attach one-page Executive Summary *