Please note that the questions you answering in the application are not saved until you click on “Send”, so we ask you to complete the application once you have started it. To make it just a little bit easier for you we attach the complete form in word so you can download it and complete the questions in your computer and in this way you can do it at different times.

Click to download the template

Status *

Is a legally incorporated entity and qualifies as an SME, following the definition in the Commission Recommendation 2003/361/EC. Or if not legally incorporated, has an identified and committed team for moving the project forward and creating a company.

Region to be accelerated *

The company is incorporated and operating in Andalucía. Or has concrete plans to relocate to Andalucía.

Project Category *

The company is active in the fields of Biotech, Digital Health and/or Medtech.

Application must be in english.

Only one project proposal per SME can be selected for the program.

Email *

It is acceptable to answer that the topic of the question has not yet been addressed by the company at this point in time.

Team Information

As the team is often a deciding factor in defining the success of a company. Briefly name and describe your team members' functions and the structure.

The team should have the potential to effectively develop this company, handle the risks associated with the venture and has balanced expertise for both the business and the technology.

2-3 sentence bio including all university degrees and work experience

Please describe here the responsibility distribution within your team

What inspired your team to get together and work on this project? (max 5000 characters).

Project Information

Project Name *

What is the impact on patients and society if you are successful?

Elevator pitch (max 150 characters)

What problem are you trying to solve? (max 2000 characters)

How do you plan to solve this problem? (max 2000 characters).

How is the world a different place if you are successful? (max 800 characters).

Has a patent or utility model application been submitted to protect your IP? *

Do you intent to protect at least part of your IP under know-How? *

Are you planning to patent?

Provide a brief explanation if necessary

Are you keeping as trade secret?

Provide a brief explanation if necessary

Have you already published you innovation?

Provide a brief explanation if necessary

Do you own or have the rights to the intellectual property that is the basis for the project or product?

If no, why is the solution you are proposing unique and why it cannot be easily replicated?

Current financial Status*:

Please include your Profit and Loss statement (P&L)* (add PDF file)

What is your current cash status*?

*For how long is the company funded at the current run rate and current cash balance (e.g., six months, 50K euros).

Optional: one page executive summary

Please add a link to which TRL description you refer, there are some differences regarding TRL level description depending on which technology you work or which internet reference you use.

TRL level *

Describe the market which you are addressing with your solution (market size, geography, customer (hospitals, physicians, patients)*

Please provide examples of progress or traction you achieved so far. Explain how your solution is developing or gaining popularity and acceptance *

"Please briefly describe details about your sales to date if any or prospects in the pipeline

Do you have a CE mark/ FDA/ EMA approval or any other kind of approval?

Revenue plan: Please specify who pays for the product/solution? Describe your customer and identify your traction (letters of intent, partnerships, paying customers, etc.)

Describe you projected business model and revenue model

What is the expansion plan for your business? Explain what are the next short, mid and long-term steps and objectives?

Please name three goals that you managed to accomplish or milestones that you reached in the current or last year?

Ideally, we would like you to relate this to the future and your interest in this program.

Please describe why you would like to participate in this programme and how you learned about it.

For you next round of funding, are you looking for more than € 500K?

Acknowledgement

In case of being selected to the AcexHealth and accepting to participate in the Program, I acknowledge that this Participation requires full attendance during the program. Full attendance is defined as the same participant(s) attending all X days of the Training modules and Pitch events.

I understand that only one project proposal per company can be selected for the program in one calendar year: