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Hi there! What's your name?*
What's your email address?*
About Your Startup
Now, please tell us a little bit about your startup!
What is your company's name?*
If your company is not incorporated yet, that's fine.
Where is your company headquartered?*
City State / Province / Region ZIP / Postal Code Country
Please provide a one-sentence pitch of your startup.*
How far along are you in building your product?*
- Idea or design
- Currently being built
- Publicly-available prototype
- Fully launched product
Please provide a URL to your website, product or prototype.
Does your product serve any of the following verticals or industries? If so, which?*
- Biotech
- Clean Tech
- Cybersecurity
- EdTech
- FemTech
- FinTech
- FoodTech
- Health Tech
- InsurTech
- Marketing Tech
- PropTech
- RegTech
- RetailTech
Please provide a link or URL to your pitch deck if you have one.
Describe, in as much detail as possible, the problem or market opportunity that your product is solving.*
What personal experience do you and/or your co-founders have with your problem space? Please be as detailed as possible.*
How much money have you raised for your company thus far? (optional)
Please indicate the investors from whom you have raised.
- Accelerator
- Angel Investor
- Family Office
- Foundation or Non-Profit Organization
- Friends and Family
- Incubator
- Other
- Venture Capital Firm
How many paying users did you have at the end of last month, if any? (optional)
What was your last month's total gross revenue, if any? (optional)
How many total users, both paying and non-paying, used your product last month, if any? (optional)
About Your Team
Now, let's get to know your team!
Who are your co-founders or executive team? Please provide their names, roles, whether they are working full-time or part-time on your startup, a one-sentence bio, email, and link to LinkedIn profile.*
What has been the biggest obstacle that you and/or your co-founders have overcome in your startup journey, career, or life? Please describe in detail.*
With which of the following groups, if any, do you or your co-founders identify?
- Active or former military
- African American or Black
- Asian (not South Asian)
- Economically disadvantaged
- Female or identify as female
- Formerly incarcerated
- Immigrant
- Latino or Latina
- LGTBQ
- North African / Middle Eastern
- Pacific Islander
- Political or economic refugee
- South Asian
- None of the above
One Last Question
How did you hear about the women's startup academy?
- Referral from a friend
- Google Search
- Google Ad
- Twitter
- Instagram
- Facebook
- LinkedIn
- Slack group
Would you mind letting us know who referred you?

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Apply for the Academy

About Your Startup

About Your Team

One Last Question

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