Outlierz Application Form
Your startup name:
In which country are you based?
Central African Rep.
Congo, Dem. Rep.
What is your startup one-liner?
What is your industry?
Media & Ads
Energy & Clean tech
Software / SAAS
Artificial Intelligence (AI)
What is your startup stage?
Idea stage (still not on the market)
I have an MVP with beta testers
I have my first paying users/customers
I have a solid base of users and growing revenue
I am scaling to other markets
When did you start working on your project?
Less than a year ago
Between 1 - 2 years
Between 2 - 3 years
More than 3 years ago
When did you launch your product?
I haven't yet
Less than 6 months ago
Around 1 year ago
More than 2 years ago
How much revenue did you generate last year?
I am pre-revenue ($0)
I have some paying customers (less than $5k)
I have paying customers ($5k - $50k)
I have some market validation ($50k - $200k)
I have good numbers (more than $200k)
What have you achieved so far? (ex: KPIs, nb of users/customers/clients, retention, revenue, partnerships signed etc)
What problem are you solving?
How are you solving it and what's your competitive advantage?
Who are your main competitors (direct/indirect)?
Link to your elevator pitch video / demo (2min)
Please record a short video of the founders telling us about your startup, easiest way is to use youtube (recording button). You can also share a demo if you have any.
Link to your pitch deck uploaded on the cloud (Google Drive preferred)
Tell us about your team (how many co-founders / employees? are you all full time? what's your background, role and equity split between founders?)
Have you already raised funding?
How much funding are you looking for? Who are the investors that you are talking to? Please tell us if you have any commitment so far.
Phone number (plz add country code):
Linkedin profile link:
Bonus: How did you hear about us?
I received an email from you
Facebook / Social media
Press / media
Word of mouth
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Outlierz Ventures.
Terms of Service