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*This is an equity based program that includes $20,000 in investment, $80,000 in services, and the opportunity to participate in a pilot program with Henry Ford Health Systems - as well as the opportunity for up to an additional $130,000 in investment after the program is completed. We use the standard YCombinator SAFE or convertible note.

The program begins January 27, 2025 and ends April 4, 2025.*

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* 1. Company information

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* 2. Describe your company in 25 words or less.

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* 3. Describe the problem you're solving/need you're filling.

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* 4. Why did you pick this idea to work on?

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* 5. What makes this company different than others?

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* 6. Who are your customers? How do you know?

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* 7. How are your customers solving this problem/filling this need today?

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* 8. What steps have you taken to validate the market?

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* 9. What is your revenue model or anticipated revenue model?

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* 10. How do you plan on acquiring customers?

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* 11. What key milestones and/or traction does your company have? Please share number of users and/or dollar amount of revenue (if any). Please also include monthly growth rates where applicable.

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* 12. Who are your competitors and how are you different?

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* 13. What excites you most about this company?

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* 14. Why do you want to be a part of this program?

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* 15. Tell us about your founding team and why they're best suited to solve this problem?

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* 16. Describe the founders' ability to commit to the full 10 week program.

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* 17. Are any of the founders covered by non-competes or intellectual property agreements that overlap with this project?

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* 18. Please outline the share of ownership, including any external funding and grants.

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* 19. The program may include an assigned Intern, how would you plan on utilizing an Intern for mutual benefit?

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