Aging2.0 Startup Submission

Please fill out this form to submit your company into the Aging2.0 Startup Database.

Aging2.0 will use this this information to better understand your startup and to connect you with opportunities across our network.

All information will be shared with Aging2.0, our Chapters and our corporate partners where relevant, so please do not include anything here that is confidential and you wouldn't feel comfortable sharing among customers and prospective partners.

Please contact info@aging2.com with any questions.
Do you have an innovation that is focused on Patient Safety and engagement - specifically medication safety and adherence?
- First Name
- Last Name
- Job title
- E-mail
- Phone Number
- LinkedIn URL
- Company name
- Company website
- Street Address
- City
- State / Province
- Company Zip / Post Code
- Country
- Company description (25 word maximum)
- Company Logo
  
  Browse Files
  High res logo. .jpg, jpeg, .png, .eps. Note .eps preferred Cancelof
- Angel List profile URL (if available)
- What stage is your company?
- What stage is your company?
  Please choose the most relevant category above.
- Link to pitch deck / executive summary
  Optional: Link to e.g. Dropbox / Google Drive / Slides / PPT file etc
- Link to Video
  Optional. E.g. YouTube, Vimeo.
- Which category best fits your company?
- Please pick up to two choices:
- Please pick up to two choices:
- Please pick up to two choices:
- Please pick up to two choices:
- Other
  Please choose one of the categories listed above, if possible (Mind, Mobility, Independence, Care).
- Type of technology used (pick up to 3):
  
  Other
- Tags / keywords
- Target customer
- Channel / business model
- Competition (Who are your main competitors?)
- Capital Raised (USD)
- Annual Revenues (USD)
- Please note: The 2018 Global Startup Search is for startups with less than $5m in total funding or lifetime revenues. For questions contact matt@aging2.com.
- Strategic priority (max 2:)
  
  Other
- How did you hear about Aging2.0?
- If you were referred by an Aging2.0 partner organization, please specify the organization name here:
- Thank you for your submission.
- Should be Empty: