Accelerator Application Form » Taranaki, New Zealand

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PowerUp Accelerator Application Form

First Name

Last Name

Mobile Phone Number

Email

Where are you located?

Is this a Māori business (fully or partially owned by a person or people who have Māori whakapapa)*?

Company name

NZBN Number (if applicable)

Your role (please be as specific as possible)

Industry or sector your company operates in *

Food and Fibre

Energy

Manufacturing

Tech (SaaS)

Engineering

Health

Agritech

Professional Services

Consumer Goods

OTHER Please specify

Number of founders

Number of employees (if applicable)

How long have you been working on your project/business?

What problem are you solving?

How do you currently solve it? Or how are you going to solve it?

Who is your customer?

Can you describe your startup in one sentence?

Share a link to your latest pitch deck or website if you have one (optional)

What IP do you own (if applicable)?

What key milestones have you achieved in the last 12-24 months? *

Prototype

Product

Customer interviews

Waitlist of sign ups

Acquired customers / gained market entry

Revenue

Raised capital

Other (please specify)

How often are you working on your startup?

How are you financing your startup? *

Revenue from current employment (day job)

Investment / loan from family or friends

Bank loan

Investment from Venture Capital and/or Angel network

Crowdfunding

Savings

Other (grants etc...)

If your startup has received external investment, what percentage do the founder(s) own?

How much has been invested into the company so far?

Where would you like your company to be in 5 years time?

What do you hope to achieve by participating in our accelerator programme?

How did you hear about this programme?

Please attach any additional documents that you feel may be relevant to your application

I hereby declare that all information provided in this form is true, accurate, and complete to the best of my knowledge at the time of submission. I understand that any false or misleading information may result in my application being deemed invalid.

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