Startup Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

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

We handle your data with care and according to GDPR regulations!

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? *

MVP (Minimum Viable Product / Prototype)

Validation Phase (Product/Market-Fit)

Testing

Pre-Launch

Launched

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 office@i2a.at *

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 office@i2a.at .

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.

Submit

Clear form

Never submit passwords through Google Forms.

Forms

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google.