HAAC 2026 Application Form

Team Name*

University*

Participating Faculty / Faculties*

Participating Specialties*

Other Participating Specialty

Team Size*

Is the Team Multidisciplinary?*

YesNo

Team Leader - Full Name*

First NameMiddle NameLast Name

Team Leader - Student ID*

Team Leader - Specialty*

Team Leader - Study Year*

Team Leader - Email*

example@example.com

Team Leader - Phone Number*

Country CodeArea CodePhone Number

Approval to Be the Official Contact Person*

I agree to serve as the official contact person

Team Members*

Project track*

Reason for track selection*

Description of the health problem*

Where the problem occurs*

Who is affected*

Current impact of the problem*

Number of interviews conducted*

Stakeholders interviewed*

Stakeholders interviewed - Other

Interview summary attachment

Solution description (Who will use the solution? How this solutions works? Where can the solution be applied first? How impact will be measured? what is the gap your project addresses? *

Solution type*

Solution type - Other

Technologies used*

Technologies used - Other

Prototype available*

YesNo

List 2–4 similar existing solutions*

0/700

Implementation requirements*

0/1000

Expected challenges*

0/700

Impact type*

HAAC 2026 Application Form

Team & Institution Information

Team Leader Information

Team Members

Project Track & Problem Definition

Solution Description & Technology

Market/Benchmark & Gap

Implementation & Impact