SISA Visa Expression of Interest Form
Thank you for your interest in The Moonshine Lab & SISA Visa. In order to see if we are the right fit for you and vice versa it is important we understand a bit more about your business idea. Please complete as much as you can of the form below and leave any questions you do not have information for.
Email address *
Your Name *
Your answer
Email Address *
Your answer
Country of Origin *
Your answer
Company Name *
Your answer
Website
Your answer
Sector/Industry *
Your answer
Brief description of the product or service. *
Your answer
Brief description of your business model. *
Your answer
What is the size of the market? *
Your answer
When did you start working on the project? *
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What is the revenue to date? *
Your answer
Average monthly revenue in the past 6 months.
Your answer
Projected revenue for the next 12 months.
Your answer
How many active users/customers do you currently have? *
Your answer
Who are your three closest competitors? *
Your answer
What is your position in the company? *
Your answer
How many equity holders are there? *
How much equity do you hold in the company? *
Your answer
What is your estimated valuation of the company? *
Your answer
We will sometimes take a minority equity position in companies we like (and that like us) and help design/build their product as a technical co-founder. Are you open to having us as a co-founder? If you already have tech on your team, or just wish to pay for product development (with us or any other development partner) without giving up equity please answer no, and that's fine too :) *
Describe your current team.
Your answer
How much time in hours can you commit each week?
Your answer
How much capital have you invested in the company so far? *
Your answer
How much capital do you have for further investment in development and marketing (if none, are you currently raising capital, if yes, how much and at what valuation?) *
Your answer
In what capacity would you like The Moonshine Lab to become your co-founder? *
Your answer
Please complete this short video interview to support your application and confirm when completed in the form field below. Please start the interview here: https://facecruit.com/public/JobYDAR6K *
Your answer
Please email business plan to visa@moonshinelab.com.au and check the box below when complete: *
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