Experts Panel Application

Help Build Real Medical Ventures — Responsibly: Curated · Medical-Only · Structured Engagement

Designed exclusively for the MEDPRENEURSHIP™ Ecosystem.

SECTION A — Professional Identity

1- First name

2- Last name

3- Email (institutional preferred)

4- Current Title

5- Primary Institution / Company

6- Professional Profile Link (LinkedIn preferred)

e.g., https://www.linkedin.com/in/yourname (or your website)

7- Location (City, Country):

e.g., Los Angeles, United States

8- Have you previously advised startups or healthcare ventures?

10- Years of Relevant Experience?

11- Have you previously advised startups or healthcare ventures?

12- Briefly describe your most relevant execution experience in regulated healthcare innovation.

13- Which stages are you most comfortable supporting? (Select all that apply)

14- Preferred Engagement Format: (Select all that apply)

15- Approximate Availability?

16- Compensation Preference?

17- Why are you interested in joining a structured, medical-only expert panel?

18- If available, upload your CV and any supporting materials to allow us to review your application more effectively.

Add up to 5 documents. Accept PDF/DOCX (PPT/PPTX if you want decks)