Student Health Tech Grant Application
Share your health tech project details and upload a short founder video to apply for a $1,000 non-equity grant.
Applicant Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
University / Accredited Institution
*
Academic Level
*
Undergraduate
Graduate
PhD
Other
Expected Graduation Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Project Name
*
The Project
What are you building, and how does it relate to cancer care or medical patients?
*
What stage is this at today?
*
Idea / early concept
Early prototype or MVP
Live with early users
Other
If you selected Other, please explain the stage
What would the $1,000 grant specifically fund?
*
Why does this problem matter to you?
Project link (optional)
Founder Video
Upload a 1–2 minute founder video
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
List of Founders / Co-Founders and their titles. If solo founder, please put "Solo".
*
Or paste a video link instead
Acknowledgments
I understand the $1,000 grant is disbursed 50% upfront and 50% on reimbursement of eligible project expenses after a 6-month checkpoint.
*
I understand
I understand funds must be used exclusively for the stated project, and misuse or abandonment may trigger a repayment obligation.
*
I understand
I confirm I am currently enrolled at an accredited university and can provide verification if requested.
*
I confirm
I understand the grant is non-equity and non-dilutive, and the Maleiha Carino Foundation has no ownership, financial return, or intellectual property stake in the project.
*
I understand
I would like to receive occasional updates from the Maleiha Carino Foundation.
Yes
Submit Application
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