Online Application Portal

Please complete the form below

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TEAM REPRESENTATION
Name of the individuals that would represent your team at the accelerator in Scottsdale, Arizona during the (DATE HERE) program
Name *
Name
Phone Number *
Phone Number
ELIGIBILITY
Have you raised $500,000 in seed capital? *
Are you generating recurring revenue? *
Please select a description for your company's primary product or service *
Are you able to execute a participation agreement and provide $80,000 in participation fees (payable as cash or a convertible note) if selected? *
Thank you for applying to the Mayo Clinic and ASU MedTech Accelerator.
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I Accept *