World Startup Factory - First Round Application Form
What is your company name?
What is your 'one-liner'?
For example, 'Increasing the deaf community’s access by translating sign language into speech'.
Please select one of the following industries that describes you best:
Horti-Tech and Urban Farming
Health and Ageing
Please let us know the foundation date of your company?
If your company is not registered yet, then leave the cell blank.
What problem(s) are you trying to solve?
What need(s) you are fulfilling? Whose lives are you making easier or better (target market)?
Please provide a short and precise description of your final product or service.
Describe how your finished product or service looks like and what is the technology behind it.
How far are you with your product or service development?
Poof of Concept
If your answer was 'prototype', 'proof of concept' or 'idea', please let us know by when the working MVP is to be ready?
In 1 month
In 3 months
In 6 months
In 1 year
In 2 years
In 3 years
We have working MVP already
We have a finished product
What is the size of your team?
Please count all the employees including the founders as well as full-time and part-time workers.
More than 10 employees
Between 5 and 10 employees
4 team members
3 team members
2 team members
Only 1 founder
What is your business model?
Identify sources of revenue, the intended customer base and products. For example, 'direct sales using B2B model.'
Have you participated in other acceleration or incubation programs or startup challenges before? If yes, please specify which ones.
What do you expect to achieve with our acceleration program?
Can at least two core team members (minimum one founder) come to the Netherlands to participate in the next one-month bootcamp?
Please check our website for the starting date of our next bootcamp.
How did you first hear about the acceleration program by World Startup Factory?
Friend or Colleague (reference)
Social Media (LinkedIn or Facebook)
Online Search (google or any other search engines)
Internal Event (organized by World Startup Factory)
External Event (organized by third party)
Email (you received a personal invitation from World Startup Factory)
World Startup Factory International Representative
Please upload a pitch deck of your company.
Things we would like to see: team, problem, competition, solution, market validation, revenue model, growth strategy and financials. Feel free to improvise, of course.
What is your company website address?
Where is your company based (country of origin)?
Contact person's full name
Contact person's email address
Contact person's phone number
Contact person's Skype ID
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