Welcome to the German Accelerator Life Sciences Application

Thank you for your interest in applying to the German Accelerator Life Sciences (GALS) program.

The GALS application consists of around 20 questions about your company, team, technology, and business plan. We also request that companies submit additional materials with their application, such as a slide deck and a product demo (if available). Questions marked with an asterisk (*) are required answers.

Applicants must be promising emerging life science companies that have great potential to benefit from the GALS program. Companies must have an affiliation with Germany, i.e. incorporated in Germany or with significant operations there. Applicants must develop a product or service in (at least) one of the five supported life science segments: Digital Health, Medical Devices, Diagnostics, Therapeutics, or Platform Technologies.

For more information on the GALS program or application process, please visit our website (www.GermanAccelerator.com/life-sciences) or email your question to: gals@germanaccelerator.com

* 1. Company Name

* 2. Company Website

* 3. Company Location(s) - If multiple, please describe.

* 4. Name of Contact Person

* 5. Email of Contact Person

* 6. Identify the primary life science segment your company operates in.

* 7. Please provide a brief summary of your company

* 8. Product/Service - What problem do you solve? Describe your product and/or service including the stage you are at in product development. (Please include a product demo in the Additional Materials section, or arrange to give a product demo if your product is an app.)

* 9. Founders and Management - Who are the key members/roles? Who are the founders and are they still involved in the company?

* 10. Stage and Legal Structure - When did you incorporate your company and what is its current legal status?

* 11. Business Model - What strategy do you employ to build, deliver and retain company value?

* 12. Team - Tell us about your team’s background and strengths. Who works full-time and who works part-time in the company?

* 13. Outside Support - Are you participating now, or have you ever participated in any other accelerator/incubator programs? If so, describe the program and the support you have received, and the (expected) start and end dates.

* 14. Funding - How much money have you raised and from whom? What is your burn rate? Please describe the ownership structure of your company (including %).

* 15. Annual Financials - Include this year and last as well as projections for the following year. Also include product revenue, cost of goods sold/ gross margin, general and administrative costs, costs for marketing and sales, and net profit before tax.

* 16. Sales and Marketing - Outline who your customers are and how you target them. Please include geography, differences in profitability and pricing, and key drivers for purchase decisions for each customer type.

* 17. Competition - List direct and indirect competitors (companies and technologies that use other approaches but yield parallel results) and disruptive technologies, approaches and/ or trends if any. What is your competitive advantage?

* 18. Operations - What are the risks and challenges your company faces (e.g. availability of materials, instrument downtime)? Where are your opportunities for growth and improvement?

* 19. Intellectual Property – To what extent do you have freedom to operate?

* 20. Regulatory Pathway - Do you have or are you seeking FDA approval? Have you obtained any other certification (e.g. CE Mark, EMA)?

* 21. Objectives - What overall goals do you want to achieve by entering the US market?

* 22. GALS Support - Please describe how your company could be impacted by GALS if accepted. What are specific milestones you want to reach in the program?

* 23. How did you hear about GALS?

* 24. Additional Materials: Company Slide Deck

Please submit or provide a link to your company's non-confidential slide deck.

DOCX, DOC, JPG, GIF, JPEG, PDF, PNG file types only.
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* 25. Additional Materials: Other

Please submit or provide a link to your company's pitch video, product demo, and/or any additional materials.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 26. Additional Materials: Other

Please submit or provide a link to your company's pitch video, product demo, and/or any additional materials.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File
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* 27. Consent to Sharing of Data and Other Information

By submitting this application, you acknowledge and agree that that the data and other information you provide in connection with this application, including any files you have uploaded or otherwise submitted to the German Accelerator Life Sciences (GALS), may be shared by GALS with GALS' selection committee and GALS' advisors in connection with evaluating your application for the program and in connection with your participation. GALS may also share the information entered under "A) Company Overview" and "Upload 1: NON-CONFIDENTIAL SLIDE DECK" with its strategic partners. Any information you provide in connection with this application is subject to the terms of our Privacy Policy: www.germanaccelerator.com/privacy-policy/. Please note that we have no control over and are not liable for SurveyMonkey's use of any information you provide, and we encourage you to read its privacy policy at: https://www.surveymonkey.com/mp/policy/privacy-policy/

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