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Full Name
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First Name
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Last Name
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Email
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Company Name
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How did you hear about us?
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Life science/health care vertical
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Describe what your company does in a few sentences.
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How much equity-based funding have you raised?
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How much revenue are you currently earning?
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Would you like to be considered for grant residency?
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What milestone would you like to achieve in your first year of residency?
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If appropriate, link to relevant academic papers or patents providing additional support for your business. Consider providing brief commentary on the importance of each cited publication or patent to your business.
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Answer one of the following. How does your team bring representation to Altitude Lab? OR How will you foster allyship in our community?
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