October 21-22, 2017 
Stanford University | Huang Engineering Center

We’re bringing together engineers, designers, healthcare professionals, and business experts to tackle challenges in healthcare affordability. 
Ready to join us?
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First Name *

 
Last Name *

 
Email Address *

 
Age *

 
Gender *


 
What is your current level of study? If you’re out of school, what was your most recent level of study? *


 
If applicable, which school do you currently attend?


 
If applicable, what is your major or concentration?

 
If you are a professional, please let us know your job title and current employer.

 
In which of the following way(s) do you hope to contribute to a team during health++? *

Which category/categories do you feel most strongly embodies your skillset?

 
Why are you interested in attending health++? *

health++ seeks to bridge the gap between technical and nontechnical expertise. Learn more at healthplusplus.stanford.edu.
 
Are you interested in pitching a need during the problem pitching session? If so, please fill out the problem pitching form linked below! *

Problem pitching form: http://bit.ly/2x2irvN

You can learn more about problem pitching here: http://bit.ly/2x1TUa9
     
 
How did hear about health++? *


 
Please link us to your LinkedIn profile (if you have one)

 
health++ organizers will be taking pictures and recording video for future publicity. Please read the photography/video consent statement below:

By submitting this application, I grant health++ and its sponsors the right to take photographs and record video/audio of me during the event in question. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording.
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