Startup Accelerator Form

Company Name * This field is required and must be at least 3 characters.

Please enter your company name. Enter TBD if you do not have a name yet.

Company url, if any:

If you have a demo, what’s the url? For non-software, demo can be a video.(Please don’t password protect it; just use an obscure url.)

Address * This field is required.

Your company’s office address. If your company doesn’t have an office, use your home address.

Describe your company in 50 characters or less.

What is your sector / industry? *

What is your product?

Which category best applies to your company?

Where is your company based?

Email * This field is required.

Email address of the founder who is filling out this application:

Name *

First

Last

This field is required and must be at least 3 characters.

Your role in the company: * This field is required.

Founder, CEO, Vice President, etc.

Phone * This field is required.

Email addresses of the other co-founders or team members

Please provide the email addresses of the other cofounders in the startup. No need to add yours again. Founders must have at least 10% equity in the company. We will send an email to each founder to fill out additional information about themselves.

Please enter the url of a 1 minute unlisted (not private) YouTube video introducing the founders. (Follow the Video Guidelines)

How long have the founders known one another and how did you meet? Have any of the founders not met in person?

Please indicate the stage you are at with your start-up: *

Concept/Discovery
Development/Validation
Launch/Efficiency
Growth/Scale

What is your elevator pitch?: * This field is required.

We are in an elevator for two minutes, give us an impactful summary of your business

What unique value does your company provide?: * This field is required.

How are you solving a problem, how is it different than what is already out there? Do you have intellectual property, unique processes etc?

What does the market opportunity look like?: * This field is required.

Do you have secondary, and/or primary research data?

What is your business model?: * This field is required.

Who do you sell to, and how?

Who are your competitors?

Do you have users? *

Yes
No

How many users do you have? (0 if none) * This field is required.

How many employees do you have (including the founders)? * This field is required.

Please specify the number of full-time equivalents. The minimum is 1 (you) even if you are not working on this full time.

What are the employees roles and backgrounds?

Please enter each individual’s name, role, and background; one individual per line. Example: John Doe, CMO, U of Waterloo

What is the annual revenue of your current company?

Is the company incorporated? *

Yes
No

Where is your company incorporated?

Any additional url?

What is the most recent stage of funding you have completed?

Have you taken any investment yet?

No
Yes

Startup Accelerator Form

Think you have what it takes to be an Accelerator STARTUP?