Advisor and Council Member Interest Form

Contact Information

First Name Last Name

Email Mobile Phone (Optional)

(Optional)

Employer Information

Occupation (Optional) Employer (Optional)

I am retired

Additional Information

Degrees/Honorifics you'd prefer be used with your name (Optional)

Biography (Optional)

Which of the program tracks would you prefer to work with? (Optional)
Which of the program tracks would you prefer to work with? is required.

Digital Health Innovation Program

Life Science Innovation Program

Women's Health Innovation Program

What content areas do you have expertise in? (Please check all that apply.) 
What content areas do you have expertise in? (Please check all that apply.) is required.

Fundraising (including investor pitches, investor relationships, term sheets, due diligence))

Corporate Strategy (incl Business Model, Partnering)

Research & Data (incl Preclinical, Data Informatics, AI)

Clinical & Medical (Trials, Product Development, Medical Affairs)

Manufacturing/Production

Commercialization (incl Launch, Marketing, Go to Market, Pilots)

Market Access (Pricing, Reimbursement, HEOR)

Regulatory and Compliance

Legal (IP, Securities, Due Diligence, Term Sheets)

Partnering and Licensing (digital health) Strategy

Reimbursement

Technology Platforms

Messaging and Marketing

Other Other

What are your Sub-Industry Areas of Expertise? (Please check all that apply.) 
What are your Sub-Industry Areas of Expertise? (Please check all that apply.) is required.

Biotech/Therapeutics

Cell/Gene Therapies

Diagnostics

Devices

Digital Health

AI, Software, and Machine Learning

Drug Platform Technologies

Life Science Tools

Pharma B2B Tech

Payers/Insurance

Consumer Health

Other Other

What time commitment makes sense for your schedule? (Please check all that apply.) 
What time commitment makes sense for your schedule? (Please check all that apply.) is required.

Screening initial applications (offline, at your own time)

Interviewing screened applications for entry into the cohort (5-10 hours of group interviews over 2 weeks, virtual)

Assisting as a speaker or panelist during cohort "Accelerator Bootcamp" (2-3 hours per bootcamp session)

Leading an advisory team (~10 hrs over a 12 week period, as need and schedule permits)

Acting as an advisor on a team (10 wk commitment, ~5-10 hrs over 10 weeks, as need and schedule permits)

Workshop panelist (Providing your subject mater expertise in one 2 hour interactive session with the cohort)

I don't have a lot of availability, but happy to help with one-off projects (developing a piece of content for a team, speaking at an event, recruiting advisors, etc)

Other Other

Updates (Optional)
Updates is required.

Dolphin Tank Newsletter

Springboard Quarterly Newsletter

How did you hear about Springboard?

Click here if you are interested in learning more about Council Member opportunities

Please select an Advisory Intro Meeting to attend below:

April 10th: 2pm-3pm EST May 8th: 2pm-3pm EST June 5th: 2pm-3pm EST July 10th: 2pm-3pm EST August 7th: 2pm-3pm EST September 11th: 2pm-3pm EST October 9th: 2pm-3pm EST

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