Form

Please provide with as much relevant detail as you can for the following questions. It is not expected that all applicants will have thorough answers to all questions. Do the best you can. The Nurse Innovator Bootcamp curriculum and support will help you address these areas as you develop your business. Only submit non-confidential information.

First name*

Last name*

How are you currently involved in the health care field? Are you a nurse, nurse's aid, MD, lab tech, etc...?

How many years have you been working in the healthcare profession or a related field?

Are you applying as an individual or as a team?*

Individual

Team

What is the product that you are looking to develop? What problem or unmet need does it solve? Submit only a short, general, non-confidential description.

Which most accurately describes the development stage of your product?

I have an invention or product idea.

I have an invention or product prototype.

I am an entrepreneur that wants to help bring an innovation to market.

What describes the the business development you have done to date?

I have conducted market research or customer discovery.

I have researched the competitors in the market.

I have developed a business model or a business plan.

I have not done any business development.

Why do you want to join the Nurse Innovator Bootcamp? What do you hope to gain from the program?

What is your experience with project management?

Any other skills you would like to tell us about?

Thank you for submitting your application!

We will get in touch with you shortly.

Health Innovator Program Application