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Application Process

1. Visit Application Page: Navigate to https://hlthfoundation.org/application/

2. Select Application Type: Indicate whether you are applying as a Mentor or Mentee

3. Required Information to Provide:
- First Name (required)
- Last Name (required)
- Preferred Name
- Title (required)
- Job Level (required) - Options: C-Level or Equivalent, VP Level, Director Level, Manager Level, Other
- Job Role (required) - Options: Sales, BD/Strategy, Marketing & Communications, HR/People, Product Management, Innovation/R&D, Investment/M&A, Technology/Information Systems, Legal, Regulatory, Board, Executive Team, Startup Founder, Clinical Leader, Patient Advocate, Other
- Company (required)
- Company Type (required) - Options: Association/Non Profit & Academia, Government, Health Tech/Solutions & Services, Life Sciences, Media, Professional Services, Payer, Health System & Provider, Investor & Accelerator, Startup, Other
- Email (required)
- Alternate Email
- Preferred Pronouns
- LinkedIn URL (required)
- Mobile Phone
- Home Address (required)
- City (required)
- State/Province (required)
- Zip (required)
- Country (required)

4. Role Assessment Questions:
- Do you hold a role within 3 levels of the c-suite or topmost position(s) in your organization? (Yes/No)

5. Mentor-Specific Question:
- Have you founded or served on the original executive team of a startup that is publicly traded/was acquired/is otherwise mature, and would like to mentor startup founders? (Yes/No)

6. Mentee-Specific Questions:
- Are you a startup founder? (Yes/No)
- [Level Info requested] (Yes/No)

7. Optional Demographic Information (to help improve programs and services):
- Race/Ethnicity
- Sexual Orientation
- Additional Identification options: Transgender, Older worker (age 50+), Returning worker, Person with disability (ADA qualified)
- Self-description fields available

8. Review and Submit: Application form submitted

After Submission

• Applicants will receive notification of admission via email at the primary email address provided within 5 business days
• If no decision is received within 5 business days, contact info@hlthfoundation.org