White Hat Investors 2018
Please complete the application below to be considered for a presentation opportunity on Oct . 4, 2018.

Presenting Company Application Time Line:

January 2018 Company Applications Open
July, 1 2018 Company Applications Close
August 1, 2018 Companies notified
September 1, 2018 Presentation fees due from confirmed Presenting Companies

October 4, 2018 - White Hat Company Presentations

Important Note: You must click the SUBMIT button at the bottom of the page to complete the application process. It is strongly suggested that applicants draft their responses in advance and then cut and paste them into the application form. Tihs is NOT an printable form. A copy of your submission will be emailed to you.

Presenting Company Application
Company Name *
Your answer
First Name *
Your answer
Last Name *
Your answer
Title *
Your answer
Email Address *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Office Phone *
Your answer
Mobile Phone *
Your answer
Website *
Your answer
Past Presenter? *
Has your company presented at White Hat Investors or the Rocky Mountain Life Science Investor and Partnering Conference (RMLIPC) in the last 4 years.
Required
Executive Summary
The following information will be reviewed by the selection committee. If your company is selected and AGREES to present, AZBio is authorized by you to provide this information in the investor catalog at the conference and on the investor-only micro-site. (Additional REQUIRED terms and conditions are provided at the end of this application.)
Date Founded *
Your answer
Company Structure *
i.e. C-corp, S-Corp, Partnership, LLC
Your answer
Current Investment Target *
What are you currently in the process of raising?
Your answer
Current Capitalization *
Please include data on phased investment and non-dilutive investment levels
Your answer
Classification *
Required
Value Statement *
Describe the challenge, your solution, and why it is unique. (150 words max.)
Your answer
Milestones *
Describe the progress and milestones achieved to date. (150 words max.)
Your answer
Road Map *
How far will this current round take you? What is your anticipated need for additional funding?
Your answer
Conference Goals *
Please share with us WHAT you hope to gain from presenting at White Hat 2018.
Your answer
Company Application Terms
1. Applicants certify that they are authorized to provide the above information and that the provided information may be shared with the White Hat Life Science Investor Conference selection committee.
2. If selected as a presenting company, you consent to being interviewed by the selection committee, media, or other representatives of AZBio and/or the White Hat Life Science Investor's Conference and to photographs or video recordings that may be used for promotional purposes before, during and after the conference.
3. All application information shall be deemed acceptable for public use and distribution, UNLESS specifically identified as confidential in the application submitted. If selected as a presenting company, applicants agree that their presenting status may be publicly released by AZBio.
4. By submitting this application, the applicant asserts that the contents of the nomination are true and factual.
5. Completed applications must be submitted via online submission by May 30, 2018.
6. The Selection Committee will determine the presenting companies and all applicants will be advised of their status in July of 2018.
7. All deliberations of the Selection Committee will be kept confidential and the determination of the committee will be final.
8. A limited number of presentation slots are available. Company acknowledges and agrees that if they are offered a presentation opportunity AND ACCEPT IT, they are required to pay presentation fees on or before August 1, 2018. Presentation fees are NOT refundable.
Applicant Agreement *
Required
Submit
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