Application for FOUNDER ENTRY: Apply With Existing Business or Concept
If you are applying with co-founders, only one form needs to be completed per group - you do not need to complete one form each.

Need a reminder about the application deadline? Follow us on Twitter (https://twitter.com/BaseImpact) or Facebook (https://www.facebook.com/ImpactBaseIncubator) to get reminders.



TIP: the best answers are those that (1) do not use jargon, (2) actually answer the question, and (3) are detailed, this is not a competition to see how few words you write - make sure you explain your answers to us. Good luck!

What is your full name? *
What is your email address? *
What is your phone number? *
What city do you live in? *
Are you applying with co-founders? *
If yes, what are their names?
If yes, what cities do they live in?
If yes, what are each of their email addresses and contact phone numbers?
If applicable, how and when did you and your co-founders meet?
Why do you think you [and your co-founders if applicable] will be resilient enough to build a business successfully? *
What is your business name? *
If you have one, what is your business website? *
At what stage is your business? *
How long have you been working on your business? *
Is anyone working full time on the business? If so, who and for how long have they been full time? *
How far along are you and what are the major challenges you are encountering? *
If your business is already generating revenue, how much did it generate in 2019? *
How many customers do you have? *
What problem does your business or concept solve? *
Describe in less than two sentences how it solves that problem *
What do you understand about your industry that other companies in it do not? *
In the next 12 months, what will your business achieve? How would you hope that would change if you were accepted by ImpactBase? *
Why do you believe your business can scale nationally or globally? *
What do you most want from the ImpactBase Pre-Seed Program? *
Do you or any of your co-founders come from a disadvantaged background of any type? If so, tell us about it. *
Are you and any co-founders available to attend ImpactBase every weekday for two weeks in August 2020? *
Is there anything else we should know or take into account? *
How did you hear about us? *
Confirm you [and all of your co-founders if their details are listed above] agree to our privacy policy *
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