Y3 MedTech Initiative: Global Accelerator Application Form FY2025

The information provided within this application will be treated with the strictest confidence. It will be used only by Brisbane Economic Development Agency, the global facilitator Life Science Nation, and the aligned experts in residence to assess applicant suitability and to provide further tailoring to the syllabus to benefit cohort participants, measure economic impact, and to shape the future aftercare requirements. The information provided will not be shared outside of the outlined parties and will be anonymised before any reporting purposes.

CRITERIA

Applicants identify as early-stage MedTech venture:

1. Early-stage venture (established less than fifteen years) looking to scale globally.

2. Represents novel research and innovation that has been translated and commercialised (revenue or pre-revenue), including intellectual property, proof of concept, and secured seed funding.

3. Operations or Head Office located within the Brisbane LGA.

3.1. If your business does not have an HQ or office based in Brisbane City Council's Local Government Area, please detail how your company utilises, interacts, or impacts this region in your application form.

4. Participants should be Founders or CEOs with optional support from other C-level executives or leadership roles;

4.1. A dedicated team with the ability to implement global investment strategies and solutions or the ability to build one.

5. Actively seeking funding and / or strategic partners.

6. A commitment to participate in all phases of the accelerator including the aligned "In-Person" global travel commitments.

7. An agreement to cover all associated expenses aligned to the global travel requirements of the accelerator with a commitment for a company representative (Founder, CEO or C level executive) to attend J.P. Morgan Healthcare Week 2025, San Fransiciso, USA.

8. A commitment to participate in the three-year period of aftercare support and confidential reporting via annual survey.

Personal / Company Information

This information will be used to contact you and to provide an understanding of your company and who will be participating in the acclerator.

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

E-mail*

example@example.com

Job Title*

Company Name*

Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Company Website*

http://...

ABN*

ACN*

Date of business registration / incorporation.*

Please upload a high-resolution logo.

Please upload a high-resolution image/s.

Research and Innovation

This information will be used to confirm the novel research and innovation aligned to your MedTech venture.

Summarise your company's value proposition and key product / service offering. *

0/300

Provide details of the novel research / innovation of your product / service offering.*

0/300

Summarise the problem *

0/300

Summarise the solution of your innovation*

0/300

Define your innovation.*

Best in ClassFirst In ClassOther

Outline where the key research / technology originated from, providing details of the institutions and / or institutes).*

0/200

Provide details of any global R&D collaborations*

0/300

Please indicate Proof of Concept (POC) Studies.*

Outline details of the Intellectual Property position. *

0/200

Outline the current Intellectual Property Rights.*

Non-exclusive rightsExclusive rightsGlobal patent/sOther

Summarise any key research or trial milestones*

0/300

Funding and Financial Information

This information will be used in the strictest of confidence and will not be shared with anyone outside of the program - nor with other participating organisations. It's important for us to understand where your company is at financially and at what phase of capital funding so as to determine the suitability of fit and if successful, best support you throughout the course of the accelerator and aftercare period.

Please indicate the phase of funding secured by the company to date*

What is the value of the private capital raised to date?*

What is the value of the non- diluted funding raised to date?*

Indicate Funding Ambitions i.e. any launching, active or closing capital rounds.*

What is the value amount that you are seeking to raise?*

Use of Funds - Summary*

0/300

Indicate Merger & Acquisition Ambitions.*

Not applicableIn current negotiationsPotential future negotiationsOther

Indicate your priority investor target/s.*

Provide details of the relevant global strategic companies that you are targeting.*

0/300

Summary of key financial milestones.*

0/300

Please indicate your turnover for FY2024.*

Please upload your company's current pitch deck.

Team Information

This information will be used in the strictest of confidence and will not be shared with anyone outside of the program - nor with other participating organisations. It's important for us to understand your organisational chart, the skills of the founder/s and leadership team and the future talent attraction requirements so as to determine the suitability of fit and if successful, best support you throughout the course of the accelerator and aftercare period.

Provide the number of full time (or full time equivalent) staff employed by your company. Please do not include yourself (or any co-founders) in this calculation.*

Provide an outline of your company's leadership team and the skills or experience it has to support the growth and expansion of the company.*

0/250

Have you appointed an advisory board?*

YesNo

Provide an outline of the current / future talent gaps within the company.*

0/250

Additional Information

These questions will help us, and the aligned experts and mentors to determine a suitable fit and where successful, provide content and advice tailored to your needs.

What are your company's advanced manufacturing ambitions?*

Expand the existing manufacturing plantBuild a new manufacturing plantManufacture via a Brisbane based contract manufacturerManufacture via an interstate / global contract manufacturerReshore manufacturing to BrisbaneManufacturing not applicable to the offering of companyOther

List, in order of priority, the global markets for capital and distribution partnerships and talent attraction.*

Provide details of any significant global alliances, collaborations or partnerships to date.*

0/250

List the global markets that your company has licensed/ exported to. *

Indicate the percentage of turnover derived from export markets. *

Explain the level of resilience within your company's supply chain to external shocks i.e. COVID pandemic or other economic challenges - provide a summary of detail.*

0/100

Do you have any customers / licensees that account for more than 20% of your annual turnover?*

If so, please provide details.

Please detail the key achievements of your company to date. *

0/200

What are the key goals/ambitions for your company in the next 1-3 years? *

0/200

What are the key challenges that you are currently facing in your company. *

0/100

What are you looking to achieve by participating in the MedTech Accelerator and the USA Global Mission? *

0/100

Where relevant - if your company's HQ or Operations are located outside of the Brisbane City Council's Local Government Area, please outline the current or future impact and interactions within Brisbane?

0/100

Details of Additional Representative

Provide the name of a colleague that you nominate to attend the accelerator with you.

First NameLast Name

What is their job title?

What is their email address?

example@example.com

What is their Phone Number?

Area CodePhone Number

Do you or your colleague have any dietary requirements?*

How did you hear about BEDA's MedTech Initiative: Global Accelerator?*

If successful in application, the identified representative/s agree to; 1) attend, participate and action the requirements in all phases of the accelerator, including the "in person" global attendance and participation of Life Science Nation's intensive pitch coaching and investor shark tank workshop + Redefining Early-Stage Investment's Investor Pitch Challenge during 43rd J.P. Morgan Healthcare Week Jan 2025, USA. 2) Representative/s agree to underpin all the associated travel expenses aligned to the above "in-person" global attendance. 3)Work with Brisbane Economic Development Agency in an aftercare period of three years, including the confidential submission of an annual impact survey. 4) Agree to be recognised as participant and alumni of the city's Med Tech Initiative.*

YesNo