ABOUT THE PROGRAM OUR BOARD OUR COACHES SUCCESSES

    When you register with MedTech IGNITE as a
coach, you help strengthen Massachusetts' medical device industry by connecting with entrepreneurs via our
coaching program. Your industry knowledge and experience can help get a new startup off the
ground, or enable an existing startup to get to the next level.
    

Coach Registration

Please note that we are launching the IGNITE program with a small group of entrepreneurs and as such, we may not be able to connect you with an entrepreneur immediately. However, every effort will be made to match you with an appropriate entrepreneur as soon as possible.

Individuals who are not able to make the time commitment to be a coach, but are interested in serving as expert judges for IGNITE business case panel presentations are also encouraged to complete the below application. Panelists will be tailored to the individual needs of each company and will be selected based on their functional expertise (venture capital financing, accounting, marketing, corporate and patent law, etc.).

Coaching Guidelines (click to read)

Company Information (fields in bold are required)
Company / Organization Name

First Name

Last Name

Business Phone

Cell Phone

Job Title
Address Line 1

Address Line 2
City

State

ZIP/Postal Code

Please provide a brief background of your medical device industry expertise, including your current role/responsibilities, previous roles held and any relevant experience you have leading or working at a medtech start-up. Please also describe any previous or current mentoring experience you may have.

Background

Please rate your comfort level with providing mentoring in the following entrepreneurial activities:

	Least Comfortable	Most Comfortable
1. Strategically reviewing technologies and their market opportunities
2. Building a management team
3. Developing a business model
4. Crafting a licensing and patent strategy
5. Creating a business plan
6. Honing the business "pitch"
7. Developing a funding strategy
8. Identifying and pursuing funding sources
Angels
VCs
Other
9. Negotiating term sheets
10. Developing an R & D process
11. Crafting a clinical trials strategy
12. Identifying and evaluating supplier/manufacturing partnerships
13. Evaluating regulatory and reimbursement pathways
14. Building a marketing plan
15. Identifying and negotiating sales channels
16. Executing an exit strategy
With which technology/market areas are you most comfortable?
	Least Comfortable	Most Comfortable
1. Dental technologies
2. Electromedical equipment
3. In-vitro diagnostics
4. Irradiation equipment
5. Laboratory equipment
6. Ophthalmic goods
7. Medical device software
8. Surgical appliances and supplies
9. Surgical/medical instrumentation
10. X-ray/imaging equipment
11. Other (specify: )

Additional comments