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Application Form - Silicon Valley Startup Camp in Prague (Oct 20-22 2012)
Welcome to Silicon Valley Startup bootcamp Camp, organised by Czech ICT Alliance and US MAC.
Please fill in the application form IN ENGLISH to be selected for participation.
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* Indicates required question
BASIC INFORMATION
Start-up name:
*
Your answer
Website
*
Your answer
Year of foundation
*
Choose
Not yet incorporated, only idea
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
FOUNDING TEAM
Please fill in two major founders and their roles
Founder #1
First Name
*
Your answer
Last Name
*
Your answer
e-mail
*
Your answer
LinkedIn Profile
Your answer
Role and Responsibility
*
Your answer
Key past achievements, please include URLs:
*
Your answer
Founder #2
First Name
Your answer
Last Name
Your answer
e-mail
Your answer
LinkedIn Profile
Your answer
Role and Responsibility
Your answer
Key past achievements, please include URLs:
Your answer
Team information
Explain how long you've been working together, and if so, on which projects:
*
Your answer
Not including the founders, how many additional employees are there?
*
Your answer
YOUR PRODUCT/SERVICE
Please describe your business
*
in 250 characters or less.
Your answer
What is your product stage?
*
Just idea
Demo is already built
Product/service completely done
Required
Do you already have product/service revenues?
*
Yes
No
Required
Please shortly describe the business model of your company
*
Your answer
Please provide us more important details about your project (e.g. what's new, interesting, different)
*
Your answer
COMPETITION
Who are your current or possible competitors
*
(Please include URLs.)
Your answer
What is your added value or advantage in comparison with your competition?
Your answer
PRESS / AWARDS
Have your received any awards or media recognition? If so, please provide more information, including links.
Your answer
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