Entrepreneur Application

Upon completion, you will receive a link to update your form as your company grows and evolves. Applications are received on a rolling basis and considered for each month's featured investor. We will consider your application for each investor. There is no need to submit new applications or re-apply for specific months.

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Email *
Company Name *
Company Website *
How do you pronounce your company's name?
Your Name (First and Last) *
Email Address *
Your contact number *
Your Title/Role *
Company Location *
Required
Brief description of your company research
Max 150 words.  *
Development Stage of Lead Asset
 *
Clinical Trial Stage *
Required
Modality *
Required
Expand on your modality in a few words *
Target Organ/System *
Required
Therapeutic Areas Of Focus *
Required
Intellectual Property Status *
Required
Current investors Include: *
Required
Current Funding Status *
Total Funding Raised To Date
 *
Desired Funding Amount for Next Round
Clear selection
Link to most recent Pitch Deck
Please provide your own accessible link.
 *
Would you like to apply for Investor Connect RARE?
If so, please select the Rare Disease Foundation you’d like to be considered for.
If applying for Investor Connect RARE, please explain how your research align with the fund's interests?
What are you seeking?
Select all that apply.  *
Required
Affiliation *
Required
How did you hear about Investor Connect?
E.g. Flyer, Lab Space, investor or another company (please provide name).
 *
A copy of your responses will be emailed to the address you provided.
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