P@SHA Selection Survey for Blackbox Connect powered by Google for Entrepreneurs - Fall 2014 - Application Form
Blackbox Connect powered by Google for Entrepreneurs is a 2-week intensive program to be attended by 1 or 2 founders of your company.
See http://www.blackbox.vc/connect
Company Name *
Your answer
Company website *
Your answer
Description of your company - [Maximum 3 sentences] *
What's your pitch line and secret sauce? What do you do better than the competition?
Your answer
Additional links and key figures - [Maximum 3 facts or links] *
Impress us with a descriptive video, traction, customer validation, product download page ...
Your answer
Has your company launched a product? *
Has your company raised investment capital? *
Is your product or service already used by early adopters? *
Is your product or service already used by paying customers? *
Country *
Where is your company operating from?
Your answer
Founder's first and last name *
The first founder that would join the program. He must be proficient in English.
Your answer
Founder's role in the company *
Your answer
Founder's email *
Your answer
Founder's first and last name (2)
Your answer
Founder's role in the company (2)
Your answer
Founder's email (2)
Your answer
Your digital footprint - [Maximum 3 links]
Provide us with links for your Twitter-Linkedin-Github-... accounts
Your answer
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