Swimming with the Sharks Innovation Challenge at ANESTHESIOLOGY® 2024
Applicant Information:
Name:
*
First Name
Last Name
Institution/Organization:
*
Position/Title:
*
Email Address:
*
example@example.com
LinkedIn Profile
*
Project Information:
Company/Product/Team Name:
*
Project Description:
*
Target Market/End Users:
*
Stage of Development:
*
Please Select
Concept
Prototype
Market-Ready
Team Members:
*
Patents or Pending Patents:
*
Yes
No
Significant Milestones Achieved:
*
Awards or Recognitions:
*
Funding or Grants Received:
*
Strategic Partnerships:
*
Elevator Pitch:
Link to Elevator Pitch (Loom Video):
*
Consent and Agreement:
I hereby affirm that I have the rights to the technology presented in this application and agree to its public disclosure as part of the Swimming with the Sharks Innovation Challenge at ANESTHESIOLOGY® 2024.
*
Agree
I acknowledge that all information provided is accurate to the best of my knowledge.
*
Agree
Attachments:
Upload Field for Additional Supporting Documents:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: