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Applicant Information
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First Name
*
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Role - Title
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VP
Work Email
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Phone Number
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Company Information
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Company Name
*
Company Type
*
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Company Website
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State Incorporated In
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Describe Your Startup
Tell us about your cool startup and what it does
One Line Description Of Your Startup
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Which Technology Vertical Do You Fall Under (Pick All That Apply)
FinTech
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Commerce
Cyber Security
IT Infrastructure
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Blockchain - Distributed Ledger Tech
Web 3
Crypto
Gaming
Hospitality Innovation
HealthTech
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Funding Status
Yes
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Are there folks out there that believe enough in you to put some money into your startup?
How Much Funding Have Your Raised (In USD)
Describe Your Product
Blow us away with your technology and concept
Describe Your Product Or Service (In 50 Words Or Less)
*
What Is The Readiness Of Your Product
*
Idea Only - You See A Need
Early Concept - Completed Definition And Research
Prototype - No Development Started
Alpha - Developed A Version For Internal Users
Beta - Developed And Deployed A Test Version With Real Users
MVP - Completed And Released A First Version To A Real Customer
Commercial - Deployed Multiple Releases With Multiple Real Customers
Scale - Deployed In The Thousands And Millions
Do You Have Any Patents?
*
Yes
No
Who Uses Or Would Use Your Product?
*
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Describe Your Startup Experience
Is this First Startup?
I Have Been A Founder Before
I Have Been Part Of The Early Team At A Startup
I Have Never Been At A Startup
Describe Your Pervious Startup
Name of Your Previous Startup
Status of Your Pervious Startup [select all that apply]
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