We're glad you are interested in our program!
We are going to ask you some questions about your startup in this application form.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Company name
*
Location
*
Abidjan
Astana
Cairo
Cape Town
Casablanca
Dar es Salaam
Geneva
Lagos
Lima
Mexico City
Yangon
Asia - Virtual
Africa - Virtual
Middle East and North Africa - Virtual
Central and Eastern Europe - Virtual
Latin America and the Caribbean - Virtual
What is your position in your startup?
*
Founder, Co-Founder, CEO, COO, CTO, Manager
Funding raised to date
*
ex: $15000 (In USD)
Amount of funding you are looking for
*
ex: $100,000 (In USD)
Target funding round stage
*
Friends & Family
Accelerator
Angel Investment
Seed Investment
Pre-Series A Investment
Series A Investment
Target close date
*
In the next 3 months
In the next 6 months
In the next 12 months
Is your company for profit?
Yes
No
Current number of full-time employees
*
Ex: 23
Product / Service Description
*
Market / Sector
*
Product / Service Descriptive Tags
*
Product / Service development Stage
*
Idea stage: still refining the idea/model and testing major assumptions
Prototype: solution developed and in testing with beta/private set of users
Revenue: solution has paying users but is not yet complete enough for active sales
Scaling: solution is well polished and the team is actively selling/distributing
Primary Revenue Model
*
Subscription: Monthly recurring revenue for a service
Commission: You take a % of a transaction value
On-demand: Each use/download/purchase is sold for a fee. AKA fee for service
Freemium: Additional features are payed for
Product: You sell your own product on-demand
Product + Subscription: You sell/give the product upfront and then get a recurring revenue for a service
Advertising: you sell advertising space/clicks/impressions etc
Licensing: You have the IP and license it to third parties who operate
Current Monthly Net Revenue
*
ex: $10,00 (In USD)
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I would like Financial Support
Yes
No
Financial Support
We commit to empower entrepreneurs and understand the need for financial support in order to be able to participate to the program. We'll analyse each startup on a case-by-case basis. Please only fill this if you really need this support.
What level of financial support you're seeking?
*
25% scholarship and ± 1.5% equity
50% scholarship and ± 3% equity
Why should you be elected to be granted financial support?
*
DateTime
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