C19 Coalition Interest Form
Please fill out this form if you are a business leader interested in leveraging your assets to reduce critical PPE shortages alongside other members of the C19 Coalition
What is the size of your business in terms of number of employees?
Where do you have a presence geographically?
In a subset of states (please list below in "other")
What need area are you are working on or would like to work on?
Increase Supply of Medical-Grade PPE in Shortage for Hospitals and Medical Professionals
Bridge Gap Financing to Get PPE to Those Who Need it Faster
Share Data to Help Connect PPE Supply to Demand
Outfit America’s Workforce & Public with Reusable Cloth Masks Made in the USA
What impact have you achieved so far if any? Please include metrics where possible.
What are you are hoping to achieve in terms of impact (e.g., specific localities you want to work with, populations you aim to help, etc.)?
What assets or capabilities do you have to contribute (e.g., FDA-approved medical supplies, material science/product design expertise, willingness to offer manufacturing support, on-hand raw materials, logistics/distribution support, etc.)?
What is the scale of impact you are aiming for (e.g., estimate of scale of units you could produce per week; number of trucks you could deploy to move materials, time from FTEs who have expertise you could offer)?
Where do you need help to have greater impact (e.g., need access to specifications, need guidance on PPE in greatest demand to focus, etc.)?
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This form was created inside of Schmidt Futures.