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# First Name Surname City What is your gender? LinkedIn Profile Twitter Profile Your e-mail address Mobile number Date of Birth ID / Passport number What is the business name? What is the company registration number? Please provide website link? Please describe the business in 160 words* What sector are you trading in? (i.e. Finance/Health/Education etc). How would you describe your business? Please tick all that apply: Other How do you deliver your service? Please tick all that apply: Other Name the technologies in your technology stack: Describe Outcome 1 & Achieved By ...... ? Describe Outcome 2 & Achieved By ...... ? Describe Outcome 3 & Achieved By ...... ? Describe Outcome 4 & Achieved By ...... ? Describe Outcome 5 & Achieved By ...... ? When did you start developing this idea / business? How many hours have you spent investigating and building your product since you started? How much time (hours) are you investing in your venture per week now? Are you working full-time on this project/product? (Y/N) If no, from when do you plan to start working full-time? Other Ideation Describe where the idea came from (ie how you came across the problem or experienced the problem in an industry sector you know/have some knowledge of) Validation Has your idea been tested or validated in the market? Acceleration Have you built your MVP? If no, are you building your MVP? Commercialisation / Trading Is the product pre-revenue or post-revenue? If post revenue, please indicate range of revenue: Who is “your customer”? How many paying customers do you have? (number) How many active customer leads do you have? (number) How many users do you have? (number) Is the product business breaking even? If no, how long do you think it will be until the product is breaking even? How long can you “carry” the new business until you need to see a return? Have you dominated your niche? Are you looking to expand outside of your niche? Have you invested personal money into the new venture yet? Have you raised cash? If Yes, how? If No, do you have plans to raise cash in the near future? If Yes, how? Do you have Cofounders? If yes, how many? What are their names and what are their roles in the business? How long have the team worked together? What is your / their shareholding? Has there been a change in the makeup of the CoFounder team or employees since the start of the project? If yes, what were the reasons for and circumstances of the change? Are you looking for another CoFounder? Position 1: Position 2: Position 3: In these roles / positions held, where did you excel? What frustrates you in your work environment? Marital status: Do you have dependents now? If yes, number? How many siblings do you have? If you have siblings, what are the age differences between you? Has anyone in your family run their own business before? If yes, who in your family? Are you fully employed now, self employed, contracting and/or consulting? Other How did you hear about Sw7 Accelerate? Please write the name of the person if you were referred What are you expecting to get out of the Sw7 Accelerate? How far do you think you will progress your business as a result of attending Sw7? The Sw7 Accelerate Programme is an accelerator working with you to take your business to the next level - it is not a ‘drop in / drop out’ programme. Please advise what other commitments you have (work, charity, personal) which may prevent you from attending the sessions and working on your business? Please name other incubators, accelerators or “startup” programmes you have attended. When did you attend? What learnings have you gained from attending? Are you currently or will you be attending any other programmes for the duration of Sw7 Accelerate? Do you think this is a good idea? Are you prepared to contribute? Is there any other information you would like to add? Start Date (UTC) Submit Date (UTC) Network ID
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