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Startup Accelerator Program Application
Silicon Valley, California
| Full-time
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Application Form
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What is the name of your startup? *
First Name *
Last Name *
What is the URL for your startup's website? *
What is your role in the company? *
Please provide your contact phone number. *
Your Skype ID
Email address/Email *
Current City *
Current Country *
To start things off, give us your best pitch in 400 characters or less. *
What Accelerator program are you applying to? *
--Select--
Female Founder Focused Two-Week Intensive
Global X Two-Week Intensive
Japan X Two-Week Intensive
How many additional team members do you have? *
Please list your additional team members and their roles within your venture. *
How long have you known each of your team members? *
Are you currently working full time on your venture? *
--Select--
Yes
No
For how long and in what capacity (nights and weekends, full time, etc.) have you been working on your venture? (400 characters) *
We only accept founders working full-time on their startup. How long have you been working full time on this business ? *
In one sentence, tell us what your startup does. *
Have you incorporated your company? *
--Select--
Yes
No
Have you gone through an accelerator before? *
--Select--
Yes
No
Do you know how to code? *
Are there other programmers on your team? If so, tell us about them. *
What is your company's stage? *
--Select--
Idea Phase - Testing an idea to assess interest with users but no prototype or beta testers yet.
Prototype - Working on creating an MVP prototype of the product to test the idea with users.
Beta Testing - Testing with more than 5 and less than 500 beta testers.
Launched - Out of beta - the product is live.
Consistent Revenue - Have obtained significant traction with consistent monthly revenue.
Growth - Product market fit was achieved in an initial market/location and the company is now rapidly scaling.
In what stage is your funding? *
--Select--
We have raised a Seed round.
We have raised a Series A.
We are beyond Series A.
We have not yet raised a Seed round
We are a self-funded non-profit startup, meaning our company has a revenue model that supports our operational costs.
We are a non-profit startup that will seek grant funding and donations.
What is your revenue model? (300 character limit) *
What was your monthly revenue average over the past three months? What was it last month? (300 characters) *
What industry is your venture in? *
How many total users do you have? How many active users do you have? *
What problem does your startup address? (200 characters) *
How does your venture solve the user's problem? (200 characters) *
What key technology are you using to build your product? (400 characters) *
Please describe your past leadership experience and how you are prepared to execute on your leadership position in your startup. (400 characters) *
What are your short and long term career goals? Do you see yourself working on this venture in the future? (400 characters) *
Do you have experience raising capital for companies you've founded in the past? *
--Select--
Yes
No
Resiliency is very important for founders. Please tell us about a time when you experienced a major setback (it doesn't need to be related to your company) and how you responded to that setback? Were you ultimately successful? What action did you take? (400 characters) *
What is the most important thing you are looking to get out of your Women's Startup Lab experience? (200 characters) *
What could you contribute to support your peers during and after the program? (200 characters) *
Advisors are important for early companies. If you have advisors who you would like to tell us about, please list your top 2 most influential advisors. Please include 1-2 two sentences about each explaining their past experience and their role with your venture. Please indicate if each is also an investor. (400 characters) *
How did you learn about Women's Startup Lab?
Have you applied to Women's Startup Lab in the past? *
--Select--
Yes
No
What is the single most important next step to allow your company to meet your goals? (300 characters) *
What do you see as the greatest value add of the WSLab accelerator program? *
--Select--
Silicon Valley exposure
Collaboration with other women in community
CEO/Leadership development
Funding prep
Accelerating your venture's growth
Other
Thanks for your time
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