TERMIS-EU 2019 BPC Round 1 Submission
Please complete the form below with your company information and team contact details. The application document should be attached to this form once completed.
Email address *
Team Name *
Your answer
Do you have a company logo? *
Instructions on how to submit will be provided at the end of this form
Company status, if registered, in which Country: *
It is not mandatory for a team to have registered its company. Companies that have been registered for over two years (on the date of the Round 1 deadline) are ineligible (refer to Terms & Conditions).
Your answer
Tagline *
Briefly describe the vision of the company in a few words, e.g. “Transforming Diabetes Care” (max. 50 characters).
Your answer
One Sentence pitch *
Concisely pitch the challenge and solution offered by the company (max. 350 characters).
Your answer
Contact Details:
Name *
Your answer
Email Address *
Your answer
Round 1 Application Form:
Have you prepared your application form? *
Instructions on how to submit will be provided at the end of this form
Do you have any additional supporting information? *
Append one additional A4 .pdf file to include graphs and figures (you should include short captions but no extensive text). You should make reference to these figures in the body of your application form.
Will you be attending TERMIS-EU 2019? *
Prepare documents to send:
Please send your documents to 'info@termisbpc.org' *
Please append the subject field with your company name, eg. "[EXAMPLE] Round 1 Documents"
Required
Thanks for your application!
You will receive an email within three working days confirming successful receipt of your application. Good Luck!
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of TERMIS-EU BPC & PAP. Report Abuse - Terms of Service