Super Connect for Good - Pre-Registration Form

Thank you for your interest in the Super Connect for Good competition. If you would like to be informed of when the next competition will open to apply, attend or partner, please fill in the form below.

If you are a past winner, runner-up or applicant, we would love learn how the 2020 edition helped your company from the exposure to the super connections made (if relevant)

Full Name *

Job Title *

Company *

Email Address *

Please enter the best email address to reach you on today

Where are you based? *

Please select your company type *

Please specify how you'd like to participate in a future Super Connect for Good competition: *

To submit an application To attend any Super Connect for Good virtual events To be a judge in the competition To be a competition partner To attend any other Empact Ventures events

Which future events would you like to register for? By selecting the below we will expect that you will attend on the day and only select them if you know from now that you can join as we go to a lot of effort to prepare in relation to the super connections we make *

1st June 2021 - 6th July - Market Access for MedTech Course www.marketaccessformedtech.org 10th June 2021 - Super Connect Series Showcase www.superconnectseries.com/showcase/ 26th November 2021 - South MedTech Summit None of the above

If you selected that you'd like to submit an application, please upload your latest pitch deck *

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Did you participate in the Super Connect for Good 2020 Competition as an applicant, runner-up, regional/industry winner? *

Yes No

If you selected Yes, we'd really appreciate if you could share how the competition helped you (if relevant). Examples may include outcomes of any super connections made by email to address your registered challenges, the exposure or prizes you received (winners & runners-up only). By uploading this supporting material you consent for this to be featured as part of our #MakinganEmpact series on our social media channels or shared on our web site. *

If relevant, please upload any supporting material such as a short video testimonial of your experience gained and outcomes received from the 2020 Edition of the competition. By uploading this supporting material you consent for this to be featured as part of our #MakinganEmpact series on our social media channels or shared on our web site.

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This event is run in collaboration with Hays Specialist Recruitment Limited ("Hays"). All personal information will be treated in the strictest of confidence and in accordance with Hays' privacy policy here: https://www.hays.co.uk/revised-privacy-policy

If you would like to receive information from Hays, about products to support start-ups and scale-ups, other services and events, please tick the box below. *

Yes No