Startup Application Form
Please apply only if:
1. You have a startup idea which is highly innovative and scalable in the field of DigitalHealth or MedTech
2. You have a MVP and some market traction in your home market

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Email *
What is the name of your startup? *
What country are you based in? *
Do you have a website? if yes, put the URL here *
Describe your startup very briefly *
What stage is your startup in? *
Did you already raise money? If yes, how much? *
What are the next steps planned? *
Please send your pitch deck (incl. product information, market, competition and team) to *
Please describe your team (name, role full- or part-time/advisor) *
Please upload a short video introducing yourselves, explain what you’re doing and why (2 minutes max) to  .
Or post the URL of a non-private YouTube video here
Please describe the (planned) equity distribution among the founders, employees and others *
Please give us an overview of the traction you already achieved *
What is new about your idea? *
How will you make money? *
What do you personally expect to achieve for yourself and your startup during the 3-months program? *
If you have already participated or committed to participate in an incubator, "accelerator" or "pre-accelerator" program, please tell us about it. (name, time) *
Anything else, you would like to tell us?
A copy of your responses will be emailed to the address you provided.
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