Startup Application Form

Home Application Form
Please enter your full name.
This field is required.
Please enter your contact number including area code.
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Please enter your city and state (e.g., New York, NY).
This field is required.
Please enter your age.
This field is required.
Please enter your LinkedIn profile URL.
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Please enter your startup's name.
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Please enter your startup's website URL if available.
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Startup Stage
Please select your startup's current stage.
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Provide a brief summary of your startup.
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Describe your business idea in detail (max 200 words).
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Describe the problem that your startup addresses.
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Identify your target audience.
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List your current team members along with their roles.
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Have You Launched or Tested Your Product/Service?
Choose Yes or No.
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Provide details about your traction or progress if applicable.
Have You Raised Any Funding Till Date?
Choose Yes or No.
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Detail any funding raised including amounts and sources.
What Support Are You Seeking?
Select all that apply.
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Are You Able to Commit 4-6 Hours Per Week for the 16-Week Program?
Choose Yes or No.
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Explain your motivation to join the program (max 100 words).
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How Did You Hear About Us?
Select how you found out about us.
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Please share any additional feedback or inquiries.
Please type your full name as a signature for declaration.
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