What is your team or company name?*
Primary Contact Person*
Primary Contact's Email*
Primary Contact's Phone*
Please list the names of other team members and if available, a link to their LinkedIn profile.*
Please provide a 300 word (max) summary of your company:*
Which challenge would you like to address?*
When would you be pilot ready? (i.e. at what date could your pilot begin at BWH?)*
Does your company have a website, Facebook page, twitter handle, etc? Please provide links below.*
Are you available to pitch your company from 4-7PM on April 28th?*
Please attach a slide deck (8 slide maximum) that summarizes the following items: - overview of the problem or need area you're addressing

-description of your proposed solution or process

- value proposition of your solution or process

- overview of the team

- proposed plan for a BWH pilot including:

----pilot goals


----workflow to use your solution or process

----personnel resources needed at BWH to help usher along your pilot*
Please list your funding history if anything beyond family/friends?*
Do you have a BWH employee on your team (note: this is not required)? Please list their name(s):