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Beit Issie Shapiro's Assistive Technology Center
Entrepreneurs and developers - Intake Form
Beit Issie Shapiro's Assistive Technology Center is working closely with entrepreneurs and developers to promote the development of accessible and affordable solutions for people with disabilities.

Our professional team is comprised of Occupational Therapists, Speech Language Pathologists, Physiotherapists and more - all highly experienced in the use of technology and its implementation in educational, rehabilitative and therapeutic settings. In addition to expert professionals, we offer practical assistance and support throughout the development process, including pilots and beta testing.

The center also provides guidance in navigating the disability community and entrepreneurship ecosystem, and offers connections to relevant stakeholders, potential business partners and investors.

Interested in guidance and consultation? Professional feedback? Pilot services or possible collaboration? Fill out this form and we will contact you.

Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Location (City & Country) *
Your answer
Please select the phase below that most accuractely represents where you are in the product development / start-up journey. *
Please describe your product / solution. *
Your answer
Who is the target audience for your product / solution? *
Your answer
Are you working alone or with a team? *
Please select all of the following areas in which you / your team have prior experience. *
Please provide any additional relevant background information.
Your answer
What percent of your / your team's work week is currently dedicated to developing this product / solution? *
Where are you in the funding lifecycle? *
Please select the services in which you are interested. *
Please provide any links to your website / product information
Your answer
How did you hear about us?
Your answer
May we contact you in the future with information regarding Beit Issie events / initiatives for assistive technology entrepreneurs?
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