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HealthQUp Application Form

Welcome! You are one step closer to joining HealthQUp!
Promoted by INOVA Quality Hub, with institutional support from Instituto Português da Qualidade, this initiative aims to support the development of startups and projects with innovative solutions in the areas of healthtech and health digitalisation.
You can find more information about the program here.

Startup name

Website

How long ago did your project start?

What market problem or opportunity does the project aim to address?

What solution does your project propose?

What is the current stage of your project?

What is the current stage of your project?
A
B
C
D

Has your startup already raised investment?

Has your startup already raised investment?
A
B

If so, how much you raise?

Is your soluction innovative? If so, why?

From your perspective, what is the potential impact of your startup in the areas of healthtech and/or health digitalisation?

What is your main goal in participating in this program?

Are you available to participate in the program, considering it is expected to require approximately one day per week?

Are you available to participate in the program, considering it is expected to require approximately one day per week?
A
B

Primary founder contact

Email

Phone number

Nationality

Date of birth

Linkedin

Name of another founder

Email

Nationality

Date of birth

Linkedin

How did you hear about the program?

How did you hear about the program?
A
B
C
D
E
F

I declare that I have read and accept the Terms of Participation of this Acceleration Program

I declare that I have read and accept the Terms of Participation of this Acceleration Program
A

I declare that all the information provided in this form is true.

I declare that all the information provided in this form is true.
A