Membership Application

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Please share a bit about yourself.

First Name

Last Name

Phone Number

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Why are you interested in joining Proxima?

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What will you add to the Proxima community?

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What do you hope to get from joining Proxima?

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Name 2-3 companies in healthcare you're watching and why.

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Name 2-3 people in healthcare that you're watching and why.

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Thank you for your application! ✋

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