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Funderator Application: November 26th - Dec 2nd, 2018
Hi there! This is the initial application to be a part of the MergeLane Funderator, a program comprised of Conscious Leadership training and exposure to the MergeLane mentor network and MergeLane team. The program will be held in beautiful Boulder, Colorado. If you are completing this application, we assume you have read the lion's share of the MergeLane site, including the Funderator page, our investment criteria page, etc.

You are applying as a startup company with a founder or multiple founders.

Your name *
Your answer
Your company name *
Your answer
Your email address *
Your answer
Your cell phone number *
Your answer
Your company’s snail mail address *
Your answer
How many co-founders or key leaders are on your team? *
Your answer
List their names and email addresses *
Your answer
You have at least one female in leadership at your company (you must to attend the funderator and receive investment from MergeLane)
Do you have or have you had any connection or interaction with MergeLane? If so, provide a few details *
Your answer
Describe your company in 2 sentences: *
Your answer
2017 Revenue: *
Your answer
2018 1H Revenue: *
Your answer
Funds raised to date? *
Your answer
Are you raising money now?
If yes, what total raise and ballpark terms are you seeking?
Your answer
How did you hear about MergeLane? *
Your answer
“Why do you and your team wish to be part of the Funderator” *
Your answer
Please confirm that you understand that attendance for all Funderator sessions is mandatory. All will be held in Boulder, Colorado. Assume that's 9am on the 11/26 through 5pm on 12/2 with approximately two dinner events. *
Required
You understand that travel, most food, and lodging will be your responsibility. *
You understand that your attendance at the Funderator offers no guarantee of investment from MergeLane. *
You understand that the two core components of the Funderator program are 2 1/2 days of Conscious Leadership and 4 1/2 days of mentorship from the MergeLane network and the MergeLane team *
You are familiar with the basic approach of Conscious Leadership and what you can expect because you've read the content on www.mergelane.com/leadership-camp *
Who on your team would attend the Funderator? *
Your answer
Please provide a link to your latest fundraising or company summary deck (via Drive, Dropbox, etc): *
Your answer
Thanks so much for completing the Funderator Application. We will be in touch within the next few months about your application. Thanks, Team MergeLane
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