Nominate an entrepreneur to attend GIST Startup Boot Camp in Dakar, Senegal
Please fill out this online form to sign up for the GIST Startup Boot Camp.  This boot camp will be on Tuesday, July 10 and is open to any person who has a startup or is interested in creating one. The boot camp is available to a representative from 100 of the most-qualified ventures. There is a second day of mentorship and venture pitching on Wednesday, July 11 that will be available to the forty most-qualified ventures, judged by this application.

The priority deadline to nominate Senegalese entrepreneurs is Friday, June 15.  Nominations, however, will be accepted until June 29.  Once you register, you should expect to hear from boot camp organizers about your acceptance status by Thursday, July 5.

The deadline to nominate entrepreneurs from other West African countries is Friday, June 22. Once you register, you should expect to hear from boot camp organizers about your acceptance status by Thursday, June 29.
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Nominator's Information
Tell us a little about yourself
Nominator's Name *
Nominator's Email *
Nominator's Company *
Entrepreneur Biographical Information
Tell us a little about your nominee and how we can best contact them.
Name *
Email Address *
Phone number *
City and state or province *
Country *
Year of Birth *
(approximate is fine for now)
Gender *
Short biography *
1-5 sentences about your nominee and why you are nominating them
Venture information
Please fill out the section below about your current or proposed venture. It is fine if you do not currently have a venture, you will indicate that your venture is in the "idea stage".
Venture title
Venture website address
Short description of venture
1-4 sentences
Longer description of venture
2-5 paragraphs (optional)
Venture Sector
Clear selection
How developed is the venture?
Below are some descriptions so you can identify which category currently fits the venture.

Idea Stage:  
- You are eager to start or join a new venture and have excellent business or technical skills
- You are curious, enthusiastic and have relentless entrepreneurial spirit

Early Stage:
- Your venture is for-profit
- Your product or service in testing or pilot stage and may already generate some revenue
- Usually in business less than three years
- At least one team member is currently working full time with the venture
- You may have already received at least one round of financing from friends and family or other sources
- You have demonstrated that customers will buy from you

Growth Stage:
- Product or service is in production and commercially available
- The company demonstrates significant revenue growth, but may or may not be showing a profit
- Usually in business for between three and five years
- Has a team working full time
- You now know that your product or services is highly scalable

How developed is the venture?
Please pick the option that best describes the venture's stage of development.
Clear selection
Additional comments or suggestions for boot camp organizers
Submit
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