Eligibility Criteria:

• Yes, I fulfill all the eligibility criteria

First Name

Last Name

Email

Phone Number

Gender

• Man

What is the Name of Your Organization?

What is The Mission of Your Organization?

What is The Month and Year of The Founding of Your Venture?

What is Your Organization's Website URL (optional)

What is The First and Last Name of Your Organization's Representative for The Challenge?

What is Their Organizational Role/Title?

Project Stage: Select the Description Below That Best Applies to Your Organization

• Start-Up (first few activities have happened)

Please Select Your Organization's Focus Track (Select all That Apply)

• Public Health & Safety

Please Select Which of The Following Types of Innovations Best Characterize Your Work (Select all That Apply)

• Product innovation (Introduction of a good or service or improvements made to existing products)