Navigate ICCC - Startup Profile (June 2022)
Thank you for your interest in participating in NECEC Navigate's Investor Corporate Customer Connect (ICCC). We are thrilled to resume the 2022 ICCC in person in New York on June 22, 2022.

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The purpose of this form is to collect information to:
1) Select startups to attend ICCC and match them with potential investors, corporates, and customers; and
2) Include the marked information (^) in the event program to share with all event participants. The information marked in this form as (^) will be made public unless otherwise indicated below.

Deadline to submit startup application: April 15 @ 11:59pm ET

Startups will be notified by May 2, 2022 if selected for the 2022 June ICCC event.

Please contact tdinkel@necec.org with any questions or for more information.

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Company Name (^) *
Date Founded *
MM
/
DD
/
YYYY
Headquarters Location (^) *
City, State. Note: In case your company has multiple locations please specify the state/country and the nature of the presence (eg. office, development center).  
Brief company description (for selection purposes) *
Up to 500 characters, not including spaces.
Point of Contact Name (^) *
Point of Contact Email *
Point of Contact Phone Number *
Website (^) *
Incubator/Accelerator Referral *
Please indicate the incubator/accelerator that referred you to apply to the event. If you were not referred directly through an incubator/accelerator, please list how you heard of this opportunity.
Incubator/Accelerator Affiliations *
Please list the incubators/accelerators your startup is affiliated with and specify if you are still actively participating in the program.
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