Host a Scholar

Name of contact person *

First Name

Last Name

Phone

(###)

###

####

Company location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you fulfill the requirements below? *

1 - Bio-innovation start-up willing to host a scholar 2 - A dedicated project allocated to the scholar 3 - A mentor that will support the scholar 4 - Based in the San Francisco Bay Area 5 - Offering in-person workspace 6 - At least 5 full time employees based in the same office as the scholar 7 - 12 month funding runway

Yes

Maybe

No

Handeling of personal information *

By checking the box you, hereby agree, that the information provided in the form are provided by the individual company applying to become a part of the program. You furthermore agree that the information in this form is correct and can and will be stored by the program managers and third parties until these are no longer relevant for the fellowship.

When are you interested in hosting? *

Fall 2024 - Aug 1st - Dec 31st

Spring 2025 - Feb 1st - Jun 30th

Fall 2025 - Aug 1st - Dec 31st

Spring 2026 - Feb 1st - Jun 30th