Application form

Application form – contents

Please see a list of the required information we are asking for in this form. Make sure you have all of this information before you begin filling out the form.
Personal info

Full name
Email address
Phone number

Company background

Company name
Website
Registered address
Is your HQ address the same as Registered address?
HQ address
Why do you want to join Start Codon?

Technology

Is your technology a platform?
Technology type
The problem
Your solution
Development plans

The team

Founders
Management team and advisors

Intellectual property

Patents, trade marks and other registrable IP
Trade secrets, know-how, data sets and other forms of unregistered IP
External IP counsel?
Freedom to Operate analysis
Patentability assessment

Commercial

Market opportunity assessment
Route to market
Competititve landscape

Financial

Investment to date
Capital requirement

Personal info

We will only use this information to get in touch with you about this request.
Full name*

First nameLast name
Email address*
example@example.com
Phone number*

Country codePhone number
LinkedIn URL
https://www.linkedin.com/in/yourname

Company background

Describe the nature of your company. Also include a brief comment on why the Start Codon accelerator would be beneficial to your company.
Describe your Technology *

0/100
Company name*
Company Co
Website*
https://company-website.com
Registered address*

Street address

Street address line 2

CityState / Province

Postal / Zip codeCountry
Is your HQ address the same as Registered address?*

YesNo
HQ address*

Street address

Street address line 2

CityState / Province

Postal / Zip codeCountry
Is this a spin out company?*

YesNo
Where is it a spin out from?*
Company Co Parent
Why do you want to join Start Codon?*

Why would Start Codon be beneficial to your company0/500

Technology

Briefly describe your technology, the problem it addresses and its unique competitive advantage. Also provide information on your near term technical goals, along with the required budget and any key development and/or regulatory hurdles.
Is your technology a platform?*

YesNo
Technology type*
The problem*

Describe the problem your technology addresses0/500
Your solution*

Describe your solution to the problem0/500
Development plans*

Outline your technical development plans to demonstrate proof of concept of your technology0/500

The team

Provide an outline of your team, including founders, inventors, management team and advisors, with specific information on any industry experience. Include an organisation chart if applicable.
Founders*

Detail your founders and their background0/250
Management team and advisors*

Detail your management team and advisors, giving some background0/500
Organisation chart

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Intellectual property

Describe your IP position, whether it's patents, trade marks, trade secrets, know-how, data or software (in a summary table if appropriate). Also provide any available information regarding patentability, freedom-to-operate, inventorship, ownership assessment that may have been conducted on your IP portfolio.
Patents, trade marks and other registrable IP*

Include patents in application or examination phase, and granted patents; comment on whether IP is owned, licensed, assigned etc by the company0/250
Trade secrets, know-how, data sets and other forms of unregistered IP*

Include information on any other form of IP that the company holds or is required to license from parent entity0/250
External IP counsel?*

Identify whether your IP attorneys are independent or within a TTO0/250
Freedom to Operate analysis*

Briefly describe if you've considered an FTO position around your platform technology and intended pipeline, listing any key competitors0/250
Patentability assessment*

Briefly describe whether your IP counsel conducted a patentability determination ahead of drafting your patents0/250

Commercial

Provide a description on the unmet market need and opportunity that your technology addresses, along with the most likely route to market and competitors. When listing competitors, identify technical vs commercial competitors.
Market opportunity assessment*

Outline the market size and possible revenue opportunities that your product can access0/250
Route to market*

Your most likely route to market0/250
Competitive landscape*

Include technical and commercial competitors0/250

Financial

Briefly describe your current financial status, including investments to date (whether non-dilutive or dilutive), funding requirement to reach your next critical milestone and any potential co-investors. Upload your current cap table if appropriate.
Cap table

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Investment to date*

0/250
Capital requirement*

0/250

Ready to submit?

Check all of your inputs and hit submit to send it to us. We will review your content and get back to you shortly.
Pitch deck

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Please attach a pitch deck if you have one. Cancelof
Please verify that you are human*
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Application form – contents