Please complete this form to apply to join TheHill's winter 2016 pre-incubation programme:
 
(the deadline for receipt of applications is midnight on Sunday 16th October 2016)
 

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* 1. Your details

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* 2. Describe your idea in 10 words or less

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* 3. Who will benefit from your idea?

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* 4. How much progress have you made with your idea?

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* 5. Who currently employs you (pays your salary)? - so we can understand who might own any IP

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* 6. What is you current role?

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* 7. Please list any other organisations with whom you have employment contracts (e.g. honorary clinical / academic)

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* 8. Do you have any co-founders / teammates who will work on the idea with you? (list names and their current employers)

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* 9. Please enter the URL of a 1min YouTube video (unlisted but not private) that introduces you and pitches your idea - this is not required if you presented at TheHill pitch event

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