Request edit access
2018 Healthbox Studio Mentor Application
Thank you for your interest in serving as a mentor of the 2018 Healthbox Studio. The program will be held October 8-12, 2018 in Chicago, IL at Healthbox. In-person and virtual mentor opportunities are available. Mentors should apply by August 15 for consideration. Please visit
or email Kristen Lux at
for more information.
What sector(s) do you have experience working in?
Provider (Hospitals & Health Systems)
Provider (Clinics, Physician Practices)
What types of companies are you interested in mentoring?
Condition Management: Behavioral, Cardiovascular, Aging, Endocrinology, Women’s Health, Physical Therapy, Neurology, Oncology, Medication
Clinical: Patient Safety, Training, ER & Surveillance, Decision Support, Imaging
New Care Models: Telemedicine, On-Demand, Remote Monitoring, Care Coordination
Operations: Supply Chain, Revenue Cycle, Staffing & Workflows, Patient Flow, Infrastructure
Patient Engagement: Appointments, Consumer Tools, Experience, Portals
Population Health: Stratification & Intervention, Payment
Precision Medicine: Sequencing, Annotation, Curation, Interpretation
Please provide a brief overview of your areas of expertise.
Do you have previous experience presenting to or mentoring startups?
What type of mentor opportunity are you seeking?
Session Speaker or Panelist: Serve as a session panelist or present to the cohort and lead a discussion in an area of your expertise. NOTE: Session speakers and panelists must participate in-person (approx. 60-min time commitment).
Mentor Sessions: Mentor companies 1:1 (approx. 2.5 hour time commitment). Mentors will be paired based on the unique needs of the companies as well as mentor interest and expertise.
For 1:1 Mentor Sessions ONLY: Are you tentatively available to mentor onsite or virtually? Mentor sessions will take place October 8-12, 2018 in Chicago, IL.
Thank you for your interest in serving as a mentor of the 2018 Healthbox Studio program!
Please contact Kristen Lux at
if you have any questions about the program.
Never submit passwords through Google Forms.
This form was created inside of Healthbox.
Terms of Service