đŸĢ€ Application Form

Cardio AI Global Leadership Program

Cohort Starting March 2026

0% Complete

1 Personal Information

Please provide your basic contact information.

Please enter your first name
Please enter your last name
Please enter a valid email address
Please enter your phone number
Please select your country
Please enter your city

2 Professional Background

Tell us about your current role and organization.

Please enter your organization name
Please enter your job title
Please select your experience level
Please select your primary role
0 / 500 characters
Please describe your current responsibilities

3 Educational Background

Share your academic qualifications.

Please select your highest degree
Please enter your field of study
Please enter your university
0 / 300 characters

4 Application Essays

Please answer the following three questions. Each response should be approximately 500 words.

📝 Essay Guidelines:
  • Target length: 500 words per essay
  • Be specific and provide concrete examples
  • Demonstrate your leadership experience and vision
  • Show your understanding of cardiovascular AI opportunities

Describe a specific healthcare innovation or transformation initiative you have led. What was the challenge, your approach, and the outcomes? What did you learn about leading change in healthcare?

0 / 4000 characters (~500 words)
Please complete Essay 1

How do you envision AI transforming cardiovascular care over the next 5-10 years? What specific opportunities or challenges do you see in your organization or region? How do you plan to contribute to this transformation?

0 / 4000 characters (~500 words)
Please complete Essay 2

Why are you applying to the Cardio AI Global Leadership Program now? What specific skills, knowledge, or network do you hope to gain? How will you apply what you learn to create impact in your organization or community?

0 / 4000 characters (~500 words)
Please complete Essay 3

5 Supporting Documents

Please upload your resume/CV and optional video introduction.

Requirements: PDF format, maximum 3 pages, file size under 5MB
Please upload your resume/CV
Optional but recommended: 3-minute video introduction. Upload to YouTube or Vimeo (unlisted) and provide the link.

6 Professional References

Please provide contact information for two professional references who can speak to your leadership capabilities and potential.

Reference Guidelines:
  • References should be professional contacts (supervisors, colleagues, or collaborators)
  • Not family members or personal friends
  • References will be contacted after initial application review

Reference 1

Please enter reference name
Please enter reference title
Please enter organization
Please enter valid email
Please describe your relationship

Reference 2

Please enter reference name
Please enter reference title
Please enter organization
Please enter valid email
Please describe your relationship

7 Program Details & Financial Information

Please indicate your payment preference and scholarship interest.

Please select a referral source
Please select a payment option
0 / 500 characters

8 Acknowledgment & Agreement

Please review and agree to the following statements.

Please enter your full name as signature
Please enter today's date
✅

Application Submitted!

Thank you for applying to the Cardio AI Global Leadership Program. We have received your application and will review it carefully.

You will receive a confirmation email shortly with next steps.

💾 Progress Saved