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Accelerator Program Application Form
1
Overview
2
Application
3
Team
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Section 1: Overview
Founder Profile
Founder First & Last Name
*
Email
*
Phone Number
*
Select Country Code
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Azerbaijan (+994)
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Bahrain (+973)
Bangladesh (+880)
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Belgium (+32)
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Bolivia (+591)
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Brazil (+55)
Brunei (+673)
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Burundi (+257)
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Canada (+1)
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Congo (+242)
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Croatia (+385)
Cuba (+53)
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Italy (+39)
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Japan (+81)
Jordan (+962)
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Kenya (+254)
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Kuwait (+965)
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Laos (+856)
Latvia (+371)
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Norway (+47)
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Peru (+51)
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Poland (+48)
Portugal (+351)
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Romania (+40)
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Samoa (+685)
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Serbia (+381)
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Sierra Leone (+232)
Singapore (+65)
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Slovenia (+386)
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Somalia (+252)
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South Korea (+82)
South Sudan (+211)
Spain (+34)
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Sudan (+249)
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Tanzania (+255)
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Tonga (+676)
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Turkey (+90)
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Ukraine (+380)
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United Kingdom (+44)
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Vatican City (+379)
Venezuela (+58)
Vietnam (+84)
Yemen (+967)
Zambia (+260)
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Title
*
Select Title
CEO
CTO
COO
Other
Specify Title
*
Gender
*
Select Gender
Male
Female
Working on your startup full-time?
*
Select Option
Yes
No
Startup Details
Startup Name
*
Startup URL
Startup LinkedIn
Instagram
Is your startup legally registered?
*
Select Option
No
Yes
What is the commercial registration date?
*
Current Location
*
Select Country
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
North Macedonia
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Other
Which industry best describes your startup?
*
Select Industry
Artificial Intelligence (AI)
DeepTech
FinTech
HealthTech
EdTech
SaaS / Enterprise Software
Developer Tools / Infrastructure
E-commerce & Retail
Logistics & Supply Chain
Mobility & Transportation
ClimateTech / CleanTech
EnergyTech
AgriTech & FoodTech
PropTech (Real Estate)
HRTech
Travel & Hospitality
GovTech / CivicTech
IndustrialTech / Manufacturing
Web3 / Blockchain
Other
Please Specify Industry
*
Which sub-domain best describes your product?
*
Select Domain First
AI Agents
Generative AI
Computer Vision
NLP
Voice AI
AI Infrastructure
Robotics
Advanced Materials
Semiconductors
Quantum Computing
SpaceTech
Payments
Lending
WealthTech
InsurTech
RegTech
Embedded Finance
Digital Health
Telemedicine
Diagnostics
Mental Health
Healthcare Ops
K-12
Higher Education
Corporate Learning
Skills Training
CRM
ERP
Productivity
Collaboration
Workflow Automation
APIs
DevOps
Cloud Tools
Marketplace
Social Commerce
Retail Ops
Last-Mile Delivery
Freight
Warehousing
Supply Chain Software
Fleet Management
Ride Sharing
EV
Fleet Tech
Autonomous Vehicles
Carbon Management
Renewables
Circular Economy
Renewable Energy
Energy Storage
Grid & Infrastructure
Energy Software & Optimization
EV & Charging Infrastructur
Traditional Energy
Carbon & Climate Tech
Other
Precision Farming
Food Supply Chain
Agri AI
Smart Buildings
Real Estate SaaS
Recruitment
HR SaaS
Payroll Tech
Booking Tech
Travel SaaS
Digital Gov
Smart Cities
Automation
Smart Factory
DeFi
NFT
Infrastructure
Other
Specify Sub-Domain
*
Product Development Stage
*
Select Stage
Ideation
Concept development
Feasibility validation
Product development
Pilot testing
Market entry
Expansion phase
Scale-up phase
Pitch Deck Upload
*
Accepted formats: PDF, PPT, PPTX, DOC, DOCX. Maximum size: 16 MB.
Next
Section 2: Accelerator Application
Problem & Solution
What problem are you looking to solve? Explain how your target audience is struggling with the current solutions available to them. (500 character)
*
What is your solution to solve this problem? Describe what your product or service offers. (500 characters)
*
Startup Snapshot
Tell us about your startup’s progress so far, including any traction, revenue, customers, partnerships, and funding received. (500 characters)
*
Who is your target customer, how do you make (or plan to make) money, and what makes your startup different from existing solutions? (600 characters)
*
Why is it the right time for your startup? (400 characters)
*
How much capital are you looking to raise, what would you use $26K for, and what are your next milestones? (600 characters)
*
Ownership & Funding
Founder + Employees/ESOP Ownership
*
Select Ownership
100%
Between 100% and 75%
Between 75% and 50%
Less than 50%
Have you received any external funding?
*
Select Option
No
Yes
Type of Funding
*
Select Funding Type
Dilutive
Non-Dilutive
Both
Year of the last round raised (YYYY)
*
Total amount of dilutive funding raised to date ($)
*
Latest startup valuation based on the last round raised ($)
*
Last funding stage raised
*
Select Stage
Pre-Seed
Seed
Pre Series A
Series A
Series B
Series C
Funding Source (Investor Names)
*
Total amount of non-dilutive funding raised to date ($)
*
Funding Source (Investor Names)
*
Total external funding amount raised ($)
*
Funding Source(s)
(Summarize your key investors, grant providers, or funding organizations.)
Are you currently fundraising?
*
Select Option
No
Yes
Targeted Investment Amount ($)
*
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Section 3: Team
Details
Tell us about (maximum 5) team members and how they contribute to your overall success. (500 characters)
*
Describe their roles in terms: • Team Member Name • Nationality • Role(s) • Educational Background • Experience • Employment Status • Country of Full-Time Residency
How did you hear about us?
*
LinkedIn
Instagram
WhatsApp
Email
Newsletter
Friend or Family Referral
Founder Referral
Customer or Client
University or Research Institution
Conference or Startup Event
Other (please specify)
Please specify
*
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