To be considered as an applicant, all information must be provided in-full. 
 
The opportunity to submit an application closes at 11:59pm ET on Friday, May 1.
 
Please download and read the Xcelerator Pitch Competition Official Rules HERE. You will be required to acknowledge receipt of it at the end of the application process.

Once you begin the application process, you will not be able to exit and return to the application to complete it or make edits. You may view a sample application HERE to prepare you for the questions in advance. Please note we are unable to accept paper applications.

Within 48 hours of submission, you will receive an email confirmation of receipt of your application. If you do not receive an email confirmation, it is your responsibility to contact us at this email address: support@carlasmith.health.

On or before May 22, 2020, applicants will be notified of whether or not they’ve been selected to compete in the June 14, 2020 Pitch Competition.

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* 1. Tell us about you.

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* 2. Re-verify your mobile phone:

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* 3. Re-verify your email address:

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* 4. What is the name of your company?

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* 5. What is your role in the company?

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* 6. In what year was your company established?

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* 7. In two sentences, please tell us your company's mission and vision. (limited to 100 words)

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* 8. What is the name of your innovation? (limited to 25 words)

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* 9. What critical health issue(s) will your innovation address? (limited to 150 words)

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* 10. Please provide a high-level description of the function of your innovation. (limited to 250 words)

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* 11. What is the current status of your innovation? (Select one choice)

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* 12. Do you have annual contracted revenue associated with this innovation?

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* 13. What are the funding sources associated with your innovation? Check all that apply.

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* 14. How much dilutive funding have you raised? (a dollar amount that includes a maximum of 7 numerals and 2 commas. For example: $1,250,000)

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* 15. A Company logo (PNG, JPG, JPEG file)

PNG, JPG, JPEG file types only.
Choose File

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* 16. Your executive summary. (1 page maximum, PDF format)

PDF file types only.
Choose File

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* 17. Your pitch deck. (7 pages maximum, PDF format only)

PDF file types only.
Choose File

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* 18. How did you hear about the AAMI Xcelerator Pitch Competition? (limited to 100 words)

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* 19. By applying to participate in the AAMI Xcelerator, each applicant agrees and understands that participation in the AAMI Xcelerator is subject to the terms and conditions contained in these official rules, all of which are binding.

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