Kick Starter | Investment Ready

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* 1. Address

Name

Company

City/Town

State/Province

Email Address

Phone Number

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* 2. Tell us about your social enterprise product or service (Max 150 words)

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* 3. How long have you been operating?

We have not yet launched

less than 6 months

6-12 months

12-18 moths

2-5 years

5 years+

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* 4. What is the social/environmental impact you are seeking to achieve? How will this impact be achieved? (Max 100 words)

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* 5. Tell us about a success you have had in building you social enterprise

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* 6. Tell us about a challenging time/event in your enterprise development and how you approached this (Max 50 words)

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* 7. Why are you seeking investment, what purpose does it serve?

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* 8. Have you received any investment to date?

No

Yes - Angel investment

Yes - Seed funding

Yes - Series A

Other (please specify)

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* 9. Please upload your enterprise budget

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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* 10. What are you looking for from a mentor? i.e Are their any specific skill sets or areas of expertise you are looking to tap into through mentoring?

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* 11. I acknowledge that by submitting this application I am willing and able to commit to the program dates outlined in the Kick Starter brochure and online.

Yes

No