Spring 2023 BioE 375 Application - Biodesign & Technology Entrepreneurship for Societal Health
Please use this link for the Winter 2024 application instead: https://docs.google.com/forms/d/e/1FAIpQLSdrpjTFtug3Yjl2LIMqaz8Ib4tGtEPOUiNDJZYoOEeHwwxg-Q/viewform

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Email *
Full name *
You are a: *
Your specific department and major *
Why are you interested in taking this course? *
Tell us about either your personal connection and/or experience (research or work) related to addressing societal health challenges? *
Are you working on a venture idea related to Societal health already?  If yes; if no - go to the next question:
1) Please tell us about your idea here. 
2) What stage in development is your idea? 
3) List other teammates and indicate if they plan to take the course. 
4) By bringing your project to our class, if you do not come with a full team (4-5 people) there will be other students from the class that will be assigned to your team as well. Will you be ok with that?
*
If you are not working on a venture idea already, is there any particular societal health issue that you'd like to tackle in this class? *
Please rank the problem areas you're most interested in
Systemic Inequities
Climate Change impact on Health
Global Health
Social and Environmental Determinants of Health
Misinformation impact on Health
Mental Health
Other
Preference 1
Preference 2
Preference 3
Preference 4
Preference 5
Preference 6
Preference 7
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