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Adopt A Startup - Application Form
Thank you for your interest to apply for the fall edition of Adopt A Startup 2018. We kindly ask you to fill in the form below in order to assess the potential fit for the program, and if selected, to be matched to the right mentor team. Thanks for your effort and time. We will give you an update in the first week of September.
Email address *
Point of Contact - Name *
Your answer
Point of Contact - Role *
Your answer
Point of Contact - Phone *
Your answer
STARTUP DETAILS
Name of Startup *
Your answer
Website *
Your answer
Year founded *
Your answer
Size of the startup (employees) *
Sector (if more apply, please check them) *
Required
County where you're based *
Your answer
How many people in your startup are available to commit their time to the full 12 weeks of Adopt A Startup *
The program is 12 weeks in duration and requires significant time investment
Please briefly describe your company's mission and value proposition in no more than 3 sentences. *
Your answer
In no more than 3 sentences, what is the key differentiator that distinguishes your startup and makes it unique? *
Your answer
How would you best describe your progress status? *
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