Global Health Crossover Lab 2017 Application Form Question Title * 1. First Name (Lead Applicant) Question Title * 2. Second Name (Lead Applicant) Question Title * 3. Job Title (Lead Applicant) Question Title * 4. Company (Lead Applicant) Question Title * 5. Email Address (Lead Applicant) Question Title * 6. Names and affiliations of group members Name (1) Job Title (1) Company (1) Email Address (1) Name (2) Job Title (2) Company (2) Email Address (2) Name (3) Job Title (3) Company (3) Email Address (3) Question Title * 7. Project Title Question Title * 8. Brief description of your project idea (250 words) Question Title * 9. Please confirm that you are available to attend the lab and live pitch in London on 5-9 December 2017. I am available to attend the lab and pitch I am not able to attend the lab and live pitch Done