FutureHEALTH Incubator Track 1 Applications
Before you apply, please take a moment to review the Track 1: From Idea to Impact Information Pack, which includes an overview of the program, details on who should apply, and answers to frequently asked questions. (Link: https://drive.google.com/drive/folders/1xiXyWowQXKAXrfOpNqNAIoVWc0wEV8Rx?usp=share_link)
Section 1: Applicant Information
Name
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First Name
Last Name
What is your gender?
*
Please Select
Male
Female
Non-binary
Other
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
LinkedIn Profile
*
Are you applying as an individual or team?
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Individual
Team
If team, please list all team members and their roles:
Name, Role, Email (for each member)
If team, how long have you been working together?
Current occupation/role:
*
Please Select
Clinical Professional (Physician, Nurse, Pharmacist, etc.)
Research / Academic
Business / Management
Tech / Engineering
Policy / Government
Student
Other
If other, please state your occupation/role below:
Relevant education or training:
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Previous entrepreneurial experience (if any):
*
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Section 2: Your Health Tech Concept
Tell us about the health-related area you're interested in exploring. Please describe ONE of the following FOUR starting points. Please put "N/A" for the three questions you won't be describing. (300 words max):
A specific problem or challenge you've observed in the Caribbean healthcare landscape and why it matters to you. (Example: "I've noticed that seniors in my community struggle to manage their multiple prescriptions, leading to confusion and missed doses...")(300 words max)
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A specific group of people (e.g., new mothers, people with diabetes, caregivers for elderly parents) you want to help and the challenges you believe they face. (Example: "I'm passionate about supporting new mothers in rural areas who lack easy access to postpartum mental health resources...") (300 words max)
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An early-stage idea for a product, service, or new approach you've been thinking about. (Example: "I have an early idea for a mobile app that connects volunteer drivers with patients who need to get to non-emergency appointments...") (300 words max)
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If you have a different starting point to the above, let us know below:
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Section 2b: Your Health Tech Concept Continued
What drew you to this particular health challenge? Do you have personal or professional experience with this problem? (100 words max)
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What other categories within health tech interest you?
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Artificial Intelligence (AI) & Machine Learning
Automation & Robotics
Biotechnology
Digital Health Solutions
Diagnostics & Screening Technologies
Health Data & Analytics
Medical Devices
Telemedicine / Virtual Care
Wearables & Remote Monitoring
Other (please specify)
If other, please state below:
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Section 3: Current Stage & Readiness
How developed is your solution idea? (Select all that apply)
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Have an idea but haven't started validation
Have talked to potential users about the problem
Have created rough sketches/mockups
Have built a simple prototype
Have tested concept with users
Other
What research have you completed relevant to your area of interest in health innovation? (Select all that apply)
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Researched the problem online
Conducted informal conversations about the problem
Completed formal interviews with potential users
Analyzed competitors or existing solutions
Reviewed relevant literature/studies
None of the above
Other
Can you commit to attending all weekly sessions (approx 4 hrs) and completing assignments over the 8-week program? The program will be running from January-March.
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Yes
No
Mostly (pleas explain limitations)
If your answer was mostly, please explain your limitations
What do you hope to achieve through this incubator program? What would success look like for you? (150 words max)
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Section 4: Motivation & Fit
This program involves peer collaboration, hands-on workshops, and iterative feedback. How comfortable are you with:
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I thrive on this
I'm open to this
I'm learning to be comfortable with this
Sharing ideas in development:
Receiving constructive feedback:
Pivoting or changing direction based on learning:
Do you have support from family/employer to participate in this program?
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Yes
Mostly
It's complicated (please explain briefly)
If it's complicated, please explain briefly.
After completing this program, I expect to: (Select all that apply)
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Continue developing this concept independently
Seek additional incubator/accelerator programs
Apply learnings to my current role/organization
Explore other health tech opportunities
I'm not sure yet (that's okay!)
Is there anything else you'd like us to know about you, your concept, or your motivation for applying? (100 words max)
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