Application for the Healthtech Hackathon June 25 - 27
Welcome to the application form of the hackathon, which is organized by Startup Moldova in collaboration with Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova, supported by USAID and Sweden in the framework of Tekwill project. We would like you to let us know a bit more about you and your ideas. Then we will be happy to confirm your application up to 20th of June.

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Email *
Your contact number *
Your name and surname? *
What is your professional or educational background? *
What kind of expertise do you have *
Have you ever participated in any hackathons? If yes, please, put its name? *
Do you have your own startup idea or a company in the field of healthtech? *
If the previous answer was "yes", please, let us know more by describing the project/idea or writing a website address.
Here it is a list of potential challenges for the hackathon. Please, choose those, which are potentially interested for you, taking in consideration the general theme: Chronic Diseases and Conditions *
Do you have a team or you will be single on the hackathon *
If the previous answer was "yes", how big is your team?
What are your fields of preferences? *
Where did you see the information about the hackathon? *
Careful! The document contains personal data, processed within the Register of evidence no.0001384-001 registered in the register of evidence of personal data operators The further processing of these data can be performed only under the conditions provided by Law no. 133 of 08.07.2011 on the protection of personal data * *
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