Global Health Innovation Challenge II LoI Form

GLOBAL HEALTH INNOVATION CHALLENGE II (GHIC II)

Letter of Intent Form
This is the Letter of Intent Form (LOI) for Phase 0 of the Global Health Innovation Challenge II. The Team Leader of each team should fill out and submit one form.

Anyone can Enter!
- No minimum team size - you can enter individually
- Your Background: Anyone with an entrepreneurial spirit!
- No Geography Restrictions: We welcome international participants
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Please email the Challenge admin at cody@caistartups.org for any questions or concerns
Team Leader Name (Note: You Can Change the Team Leader Later)*

First NameLast Name
Team Name (Note: You Can Change the Team Name Later)*
E-mail*

Confirmation EmailThis will be your main email as a point of contact
Phone Number*
Advance an invention! You can either:
- Choose a featured invention from https://www.centerforadvancinginnovation.com/ghicinventions/;
- Bring in your own "third-party" invention;
- Get matched to an invention based on your interests
Select your technology preference*

I will pick a featured inventionI have my own "third-party" inventionPlease match me to an invention
Type in the Patent Number(s) or the name of your technology*
Terms & Conditions
(REQUIRED) Is this your final submission of the LoI Form? (If "No" is selected, keep in mind you may return to this form to edit your LoI)*

No, our team is still editingYes, this is the final submission
Team Information
PLEASE READ:

To enroll your teammates in the contest, have them submit the form at https://form.jotform.com/CAIStartups/ghiciiparticipate. Team Leaders, please submit this form, as well.
Should be Empty:

GLOBAL HEALTH INNOVATION CHALLENGE II (GHIC II)

Terms & Conditions

Team Information