Embed Size (px)
Citation preview
Startup InformationImportant: You need to complete each question of the form and then click the"Save & Continue" button in order to save your answers. Tip: If you are not sure of the definitive answer yet, you can always fill in aplaceholder and return later to modify.
Please Select
Please Select
1. Startup Name *
2. Pitch your Startup in 7 words *Avoid slogans / Use Keywords. Ex (based on Slack:) "Team communicationtool with persistent chat rooms".
3. Public Description *Will be published upon acceptance to the program.
4. Industry *
5. Industry (Optional)
6. Product Type *
Software⚪
Physical Product (Hardware)⚪
Physical Product (nonHardware)⚪
Service⚪
7. Online video pitch, please put URL here *Pitch us in 2 minutes or less. Please answer these 4 questions: • What is your startup idea? Show a prototype/mockup if necessary. •How did you detected an opportunity? What problem you want to solve? •Why your skills and your team´s skills are important to the startup? •Why you will be a terrific startup female founder? Provide the YouTube or Vimeo link and NO password protection please. The
Please Select
Please Select
Save & Continue
video should be in English and please present the founding team in person.
8. How many people are working on this startup idea? *
9. How long have you been working fulltime on this startup idea? *
Executive SummaryImportant: You need to complete each question of the form and then click the "Save &Continue" button in order to save your answers. Tip: If you are not sure of the definitive answer yet, you can always fill in a placeholder andreturn later to modify.
Words used: 0 out of 90.
Words used: 0 out of 90.
Words used: 0 out of 90.
1. What is the problem you plan to solve? *How have you validated this problem?
2. What is the product or service that you are going to create? *Please describe what you are offering. What is new/innovative about what you are doing?How do you create value for your customers? How do you capture value? Is there anyrelevant Intellectual Property?
3. Validation of the concept or prototype *Please describe the potential users/clients you have tested the product you are offeringand why these interactions validate the problem/solution fit. You should tell us how manyhave you validated with!
4. What type of business model are you seeking? *You can chose more than one.
BusinesstoBusiness (B2B)⬜
BusinesstoConsumer (B2C)⬜
BusinesstoGovernment (B2G)⬜
ConsumertoBusiness (C2B)⬜
ConsumertoConsumer (C2C)⬜
5. What phase of development is your startup in? *
Concept⚪
Words used: 0 out of 90.
Words used: 0 out of 90.
Words used: 0 out of 90.
Words used: 0 out of 90.
Save & Continue
Prototype in development⚪
Pivoting prototype with users/clients⚪
Functional product with users/clients⚪
Scaling sales⚪
6. If you have already built something (mockup, or diagram of your potential solution), pleaseprovide a valid link without password or login
7. To whom will you be selling your product/service? Describe your target market. *
8. How will your startup make money? *What would your revenue model be? Subscription? Freemium? Direct sales? What areyour upcoming capital needs, if any?
9. What skill set and experiences does each team member bring to the startup? *Why do you think your team will be capable of leading this startup to succeed from theirexperience in the industry? Have any of you launched a product together as a team in thepast? How long has the founding team known one another and how did you meet?
10. Who will your main competitors be? How will you be different? *
ElegibilityImportant: You need to complete each question of the form and then click the "Save &Continue" button in order to save your answers. Tip: If you are not sure of the definitive answer yet, you can always fill in a placeholder andreturn later to modify.
Save & Continue
1. Have you read and understood the Terms and Conditions? *
Yes⚪
No⚪
2. Is the founder going to work exclusively in the startup in Chile throughout the entire durationof the program (4 months)? Plus an additional month due to legal procedures. *If you live in Chile and you will work exclusively on your startup during your time in The SFactory program you should answer yes.
Yes⚪
No⚪
3. Have you received funding from any Chilean government entity? *
Yes⚪
No⚪
4. How did you hear about The S Factory? *
StartUp Chile Entrepreneur (please tell us who)
*⬜
Word of Mouth⬜
The S Factory Meetup⬜
Twitter⬜
Facebook⬜
Instagram⬜
Youtube⬜
News (Digital or Traditional Media)⬜
Other (specify) *⬜
5. Are you planning to start a consulting company or a franchise of an existing one? *
Yes⚪
No⚪
Team Leader FormImportant: You need to complete each question of the form and then click the "Save &Continue" button in order to save your answers. Tip: If you are not sure of the definitive answer yet, you can always fill in a placeholder andreturn later to modify.
Please Select
Please Select
1. First Name *Please enter your name EXACTLY as it appears on your passport or Chilean ID. NOnicknames, short names, or any other unofficial names will be accepted.
2. Last Name *Please enter your name EXACTLY as it appears on your passport or Chilean ID. NOnicknames, short names, or any other unofficial names will be accepted.
3. Gender *The S Factory is a preaccelerator that seeks to support early stage startups that have atleast one female founder. Our goal is that a female founder is the one participating in theprogram on behalf of her team.
Female⚪
Male⚪
4. Mobile phone number (with country Code) *
5. Contact Email *
6. Skype *
7. Nationality *Please select the country that issued your identification
8. City *Please specify the city where you reside.
9. Region (Only for people residing in Chile)Please specify the region where you live.
10. What is the highest level of education you have completed? *
Please Select
Words used: 0 out of 90.
Words used: 0 out of 90.
g y pSelect the last university you went to.
Less than High School⚪
High School⚪
2Year College Degree⚪
4Year College Degree⚪
MBA⚪
Master's⚪
Ph.D⚪
11. Institution Name *
12. Area of Study *
13. LinkedIn URLPlease provide the link to your public profile. Optional
14. Tell us about your experience to date and how it is relevant to this startup? *
15. Which of the following best describes your role in this startup?* *
Operations⚪
Finance⚪
Technology⚪
Sales and Marketing⚪
16. What is your most significant accomplishment as the Team Leader? How did you achievethis? Why are you a true leader? *
17. How did you as the Team Leader start with this project? How did you gather the team?How did you come up with the idea? *
Words used: 0 out of 90.
Save & Continue
18. Have you founded a startup before? *
Yes⚪
No⚪
19. Please upload your Chilean ID, if you don't have a Chilean ID please upload your passport*Please only scan the photo page and any page that proves that the passport/ID is valid,and make sure it is readable. File size limit 10MB
Browse...
20. Chilean ID/Passport number *Only Chilean ID cards or International passports are accepted as identification
21. Chilean ID/Passport Date of Expiry *Only Chilean ID cards or International passports are accepted as identification
�
22. Date of Birth *
�
23. Are you coming to Chile? *
Yes⚪
No⚪
Team Member FormImportant: You need to complete each question of the form and then click the "Save &Continue" button in order to save your answers. Tip: If you are not sure of the definitive answer yet, you can always fill in a placeholder andreturn later to modify.
Please Select
Pl S l t
1. Do you need to add a team member? *
Yes⚫
No⚪
First Name *Please enter the name EXACTLY as it appears on the passport or Chilean ID. NOnicknames, short names, or any other unofficial names will be accepted.
Last Name *Please enter the name EXACTLY as it appears on the passport or Chilean ID. NOnicknames, short names, or any other unofficial names will be accepted.
Gender *
Female⚪
Male⚪
Mobile phone number (with country Code) *
Contact Email *
Skype *
Nationality *Please select the country that issued the team member identification
City *Please specify the city where the team member reside.
Region (Only for people residing in Chile)Please specify the region where the team member live.
Please Select
Please Select
Words used: 0 out of 90.
What is the highest level of education you have completed? *Select the last university that the team member went to.
Less than High School⚪
High School⚪
2Year College Degree⚪
4Year College Degree⚪
MBA⚪
Master's⚪
Ph.D⚪
Institution Name *
Area of Study *
LinkedIn URLPlease provide the link to the team member public profile. Optional
Tell us about the team member experience to date and how it is relevant to this startup? *
Which of the following best describes the team member role in this startup?* *
Operations⚪
Finance⚪
Technology⚪
Sales and Marketing⚪
Has the team member founded a startup before? *
Yes⚪
No⚪
Please upload the team member Chilean ID, if he/her don't have a Chilean ID please uploadhis/her passport *Please only scan the photo page and any page that proves that the passport/ID is valid,and make sure it is readable. File size limit 2MB, Permitted formats: png,jpg,jpeg,pdf.
Save & Continue
Browse...
Chilean ID/Passport number *Only Chilean ID cards or International passports are accepted as identification
Chilean ID/Passport Date of Expiry *Only Chilean ID cards or International passports are accepted as identification
�
Date of Birth *
�
Are the team member coming to Chile? *
Yes⚪
No⚪
RecommenderImportant: You need to complete each question of the form and then click the "Save &Continue" button in order to save your answers. Tip: If you are not sure of the definitive answer yet, you can always fill in a placeholder andreturn later to modify.
Save & Continue
1. Recommender Full Name *
2. Organization *Company/Organization name
3. Title *What is your recommender's position at his/her current organization
4. Recommender Email *
5. Recommender Phone *
6. Recommender Linkedin URL
7. Please upload a recommendation letter describing why the recommender supports you?Why does the recommender thinks you are be able to successfully execute this idea?. *Only PDF format (2MB)
Browse...
8. I hereby apply for admission to The S Factory and certify that the information I haveprovided in my application is complete, accurate and my own work. I have submitted only oneapplication to this round of The S Factory.* *
Yes⚪
No⚪
