Application for BioM BioEntrepreneur Bootcamp 2026 - From science to venture
Main contact
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First Name
Last Name
How do you identify?
*
Please choose
he/him
she/her
they/them
Email
*
myname@example.com
Phone
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-
Area Code
Phone Number
Country of residence
*
Country of residence
Please choose
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
What is the highest education level you´ve completed?
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Please choose
Bachelor
Master
PhD
Professor
Habilitation
MD
Other
Please specify:
For statistical purposes only, where are you currently studying or working?
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Occupation
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Project name
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In one sentence, tell us what is your business idea:
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Choose the option that describes your solution the best:
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Please choose
Thx
Dx
Platform
Service
Other
At what stage is your product or service?
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Please choose
Ideation
Discovery / Research
Validation / PoC
Please tell us more about your company's solution.
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What need(s) and problem(s) does it solve?
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What makes your solution unique and innovative?
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How does your solution compare to competitors?
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Explain IP status and IP strategy.
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History of financing activities (grants & equity?)
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Who is your potential customer?
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Do you have prospective customers?
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Please specify:
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Which stakeholders have you been in contact with? Select all that apply:
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No one
Costumers
Investors
Industry partners
Medical experts
Incubators / accelerators
Others
Please specify which incubator/ accelerator:
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Please specify others:
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Who composes the team, what are their roles, background and engagement with the business idea (% time)? Who is committed to participating in the full program?
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Please elaborate on the steps / actions you’ve taken so far.
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Where do you see yourself and your company in one year?
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Imagine it’s the final day of the program, what would you like to have accomplished? How did you engage or contribute?
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How did you hear about this program?
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Colleague / friend
Social media
Newsletter
Mailing
Other
Please specify which colleague / friend.
Please specify other
Feel free to attach further information (i.e link to a presentation, a video, mock ups of the product).
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