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HBA Advisor Fellowship

Initial Application

First Name *

Last Name *

Title *

LinkedIn URL *

Email *

Phone *

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What response best describes your current role? *

What sectors are you most passionate about? (Select all that apply) *

What are you most interested in doing through Health Board Advisors? *

What is your interest in advisory work? *

Please upload your resume if you like to be placed as an advisor or an executive for a startup

What are your areas of expertise as a subject matter expert? (select all that applies) *

Primary area of expertise? *

How many years of experience? *

Is there any project based advisory work you'd like to offer?

What would you charge for this project?

Want to take on private consultation calls? *

What's your fee for a 30-minute consultation call?

As an HBA Advisor, would you be in position to invest $25k+ as the right opportunity came along -- clinically sound, founder-vetted, and high-potential? *

Have you previously invested in any healthcare startups or innovations? *

Are you an accredited investor? (An accredited investor is someone who meets at least one of the following criteria: • Has earned $200k+ in income ($300k with a spouse) in each of the last 2 years and expects the same this year • OR has a net worth over $1M (excluding primary residence) • OR holds certain professional financial licenses (Series 7, 65, or 82) *