Young Health Innovators Forum (YHIF) Boston 2017

Young Health Innovators Forum (YHIF) Boston 2017

Suggested Deadline is Friday June 23, 2017. Applications will be reviewed on a rolling basis after this date.
A yearly international healthcare innovation challenge to showcase solutions for addressing unmet needs to better access to care, quality of care and public health.
Team Name*
Primary Contact Email*
Team Composition*
Please provide key team members' name, email, and affiliation
How did you find out about this innovation competition?*
What website or channel? Who referred you? (name(s) and/or organization)
One-line pitch *
120 characters max
What Innovation Type(s) are you offering?*

Life Science and Technology (e.g. Pharma, Biotech, Device, etc.)Healthcare Delivery (e.g. Digital health, Health IT, Provider/Patient Empowerment, etc.)Public Health Services (e.g. Population Health, Epidemiology, etc.)Other
Problem / Solution Brief Description*
Brief summary of your innovative solution to be made public in the Judge Booklet, 500 characters max
Please provide a link to your website(s)*
Current Progress / Stage*
Describe technical and commercial progress, e.g. Proof-of-Concept completed, Minimally Viable Products, Pilots such as Pre-Clinical studies lined up or entered Clinical Trials, Funding rounds if any, etc.
Market*
Who are your target customers and major competitors? Market size? What's your general strategy to enter new market(s)
Intellectual Property*
Have you filed or intend to file for a patent? Who owns the IP, you or your institution? Do you have permission to use it?
Current Funding Sources and/or Key Partnerships, if any*
Please share this information generally, as you see fit
Type of Business or Organization?*

For-ProfitNonprofit, registered as 501(c), 501(e), or 501(k)
Have you set out your journey as a social enterprise?*

YesNo
(Optional) Social Impact
What Social Impact do you want to achieve? How are you going to measure it? Have you obtained proof of impact?
At least 1 team member was born after January 1, 1977?*

YesNo
Please upload an executive summary (PDF or DOC, max 2 pages)

Upload a File
See template from http://www.angelpitchguy.com/2010/05/talking-to-angels-executive-summary.html You are also free to include figures, one or two reference links in the end Cancelof
Have you attached your innovation executive summary?*

YesNo, I have other questions - Please contact competition@uschinahealthsummit.org
If invited as semifinalists, at least one member of your team shall be physically present to pitch your innovation idea at Harvard School of Public Health in Boston on Saturday August 5, 2017 (tentative - details will be confirmed later).*

Yes, that works for my team.Nope.Uncertain
Kind Note -- Please never share your passwords or other highly confidential information in your application form.
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