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?
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.
Thanks for completing this typeform
Now create your own — it's free, easy, & beautiful
Create a <strong>typeform</strong>
Powered by Typeform