Health Tech CoLab Access Community Application

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Hi there!

Thank you for your interest in the Health Tech CoLab Access Community. We are building an ecosystem of people that are passionate about healthcare access and we invite you to join us!

Apply with your early stage idea, project, research idea, startup -- or just your great enthusiasm for increasing access to healthcare! We will share our Health Tech CoLab resources, including:

Workbenches, maker-space, and kitchen
Zoom enabled conference rooms
Health Tech Access Community and resources

Applications will be accepted on a rolling basis until the Health Tech CoLab capacity is reached. If you have questions, please reach out to the CoLab Manager, Karenna, at kbrehorn@berkeley.edu.

If you have any concerns or questions, please feel free to reach out to the Health Tech CoLab manager (info above). Thank you!

Email *

Are you applying as your team's Project Lead or Co-Lead?
*

Yes

Maybe

Other:

Applicant First Name *

Applicant Last Name *

Team Lead - First Name. If different from applicant, please write the Team Lead's name in the Other section. *

Same as Applicant

Other:

Team Lead - Last Name. If different from applicant, please write the Team Lead's name in the Other section. *

Same as Applicant

Other:

Co-Lead(s) First and Last Name. Please write N/A if not applicable. *

Please list out any additional team member names, emails, team role, and major/department or write N/A if not applicable. *

What department are you affiliated with/what is your major? *

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