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* 1. Founder's Name

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* 2. Name of Company

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* 3. Country of Origin:

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* 4. Website

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* 5. What is your email?

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* 6. What is your LinkedIn profile?

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* 7. Please provide a short summary of your background and credentials.

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* 8. Are you a foreign-born founder/co-founder of the company you’d like to launch in Michigan through the Global EIR program?

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* 9. What is your business' unique value proposition:

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* 10. What business model do you plan?

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* 11. What is the primary location of your business entity? And what is the legal structure of your business?
Have you created a business entity?
If so, what type of entity is your business? (ex: LLC, C-Corp, S-Corp, etc.)

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* 12. What is your current traction?

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* 13. What are your market prospects?

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* 14. What is your current visa status? (ex: F1 student visa, H1B, OPT/CPT, etc.) 

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* 15. When does it expire? (month/day/year)

Date

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* 16. Please tell us anything else about your visa status that would be important for us to know. 

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* 17. Please indicate your highest level of education attained:

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* 18. What is your degree and major?
What institution (college/university) is your degree from?

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* 19. When did you establish your business? (month/year) 

Date

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* 20. What is your current company financing structure (personal capital, grants, third party, ect.)
Who/What is the source of your funding? Indicate amount.

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* 21. What has been your revenue in the past 3 months? (If any)

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* 22. What are you projected gross sales for the next year? 

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* 23. Do you have co-founders?

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* 24. Do you have employees? Y/N 
How many employees do you have? Indicate if they are full-time, part-time, interns, etc.

Are you planning on hiring additional staff over the next year? Y/N 
If so, what type of positions? (data science, software engineer, mechanical engineer, etc.)

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* 25. Where do you currently reside? (city/state/country):

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* 26. Are you able to move to / reside in the southeastern Michigan area if you are selected for the program? Y/N
If yes, when would you be able to move to the southeastern Michigan area? (month, day, year)

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* 27. Please explain why you would be interested in keeping/launching/or relocating your business in southeast Michigan? How will your startup contribute to the Michigan economy?

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* 28. Which of the following areas of support would Global EIR be most beneficial in   assisting with?

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* 29. Additional questions, comments or concerns.

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* 30. Do you have a pitch deck you can share? If you have one to share please email to ernestine@globaldetroit.org

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