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Ai 4 Health Incubation (Ai4Hi) Grant
Fill the application form to express your interest
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A)
Personal Information
1) Full name of applicant
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Your answer
2) Email address
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3) Phone number
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Your answer
B)
Project Overview
1) Project title or name
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Your answer
2) Project Category
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Choose
AI in Diagnostics
Digital Health Solutions
Remote Patient Monitoring
Health Data Analytics
Telemedicine
Other (Please specify)
3) Provide a brief description of the innovation/project (200-300 words)
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Your answer
4) Add a link to your YouTube video or other source explaining how your innovation works
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Your answer
5) Describe the healthcare problem your innovation addresses (150-250 words)
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Your answer
6) Explain how your project leverages AI technology to solve the problem (200-300 words)
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Your answer
7) Current Development Stage
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Choose
Prototype/Proof of Concept
Pilot/Testing
Full Implementation
C
Impact and Commercialization
1) Who will benefit from your solution (Target Market: Customers or consumers)?
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Your answer
2) Briefly explain the potential impact on healthcare outcomes (100-300 words)
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Your answer
3) How do you or plan to make money?
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Your answer
D)
Team information
1) Size of your team (Enter number)
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2) Highlight the key areas of your team's expertise and relevant experience (100-200)
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Your answer
E)
Funding and Resources
1) Do you have any existing funding for this project?
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No
2) If yes, specify the amount and sources (Optional)
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3) Describe any additional resources or support needed from this program (e.g., technical, financial, partnerships)
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I hereby declare that the information provided is true and correct to the best of my knowledge.
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