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WeRAISE - Collaborative Capital Raising Program - Application Form
We look forward to learning more about you, and your funding needs. Please take 5 minutes to complete this simple form.
Email address *
Company Name *
Contact Name *
First and Last Name
Email *
What is your company's value proposition? *
In 140 characters or less.
Industry Type
Twitter Account
LinkedIn Profile Link
Status of Capital Raising *
Which funding sources do you want to access? *
What is the funding amount you are seeking? *
What is your funding timeline? *
Which of the following resources have you accessed?
If other, please specify.
Where are you seeking to raise capital from?
Check all that apply.
Are you currently engaging with investors?
If yes, do you have any commitments?
If you have a lawyer, what firm is your lawyer from?
If you don't have a lawyer, please indicate with "No".
If you have an accountant, who or which firm?
If you don't have an accountant, please indicate with "No".
If you have a mentor/mentors, who?
If you don't have a mentor, please indicate with "No".
If you have been a member of an accelerator or incubator, which one?
What is your experience level with raising capital?
Just getting started
Done this before, raring to go!
What is your comfort level with raising capital?
Let's do this!
Are you comfortable leveraging your own networks to share your story?
It makes me uncomfortable
How important is it find and engage with female investors?
Very important
Upload your company logo.
Upload your current investor pitch deck, if available.
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