Apply Now for Co-Founders Autumn 2020
Please complete the following information with as much detail as possible.
Email address *
First name *
Last name *
Mobile No. *
LinkedIn Profile (optional)
Job Title or if student please complete degree level & subject e.g. BA/MSc/PostDoc/PhD & university (to help with team formation only) *
Primary Expertise - Subject Area e.g. Marketing, Engineering, Software, Sales (note - this will be provided to everyone on the programme to help with team formation) *
Secondary Expertise - Subject Area (note - this will be provided to everyone on the programme to help with team formation) *
Provide a 100-word bio about you and your skillset and/or your idea/problem you want to solve - this will be shared with all candidates as part of the Hothouse weekend. *
Do you already have a product/service or an idea for a product/service? *
If yes, please provide a brief outline of the product or service and where you are in terms of design and investment – less than 200 words
If you're not currently working on a product, tell us about a project you are working on? This could include academic work, a side project, significant experience within industry or an area that you are passionate about – please include urls where relevant? (please answer in less than 200 words)
Tell us why you want to become a Co-Founder of an innovation company in Northern Ireland? (Please answer in less than 100 words) *
Please provide 1 reference: name, email, contact number (by providing this you are confirming that the referee has agreed to do this) *
To help us improve our marketing, please tell us how you heard about the Co-Founders programme? Please tick all that apply. *
Required
Where do you currently live? Belfast, Newry, Derry etc. *
Finally by applying to Co-Founders you are committing to the following dates - please tick all boxes to confirm *
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Medical & Allergy Information
Please note any food intolerances, allergies and/ or medical conditions below:
Do you require any reasonable adjustment in relation to the above information?
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If yes please specify:
Catalyst Data Protection Policy
Here at Catalyst we take your privacy seriously and will only process your personal information for the purposes of carrying out the Co-Founders programme, our privacy policy can be found here:wearecatalyst.org/programme/privacy-policy/
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