New Business Consulting Form Step 1 of 8 - Contact Information 12% Name* First Last Email* PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Company Name*Company Website (URL) If you have a demo, what's the url? For non-software, demo can be a video. Describe your company in 50 characters or less.*What is your company going to make?*Which category best applies to your company?*Please select oneConsumerCommunityMarketplaceDeveloper ToolsB2BEnterpriseSecurityGovernmentEducationEnergyBiotechHealthcareScienceFinancial ServicesHardwareRoboticsDronesTransportationVirtual RealityAgricultureAugmented RealityArtificial IntelligenceEntertainmentMediaDiversityInternational MarketsOtherWhat type of company is it?*For-ProfitNon-profitWhere do you live now, and where would the company be based?* Names of founders (Founders must have at least 10% equity in the company)*Please tell us about an interesting project, preferably outside of class or work, that two or more of you created together. Include urls if possible.*How long have the founders known one another and how did you meet? Have any of the founders not met in person?* How far along in the project are you?*How long have each of you been working on this? Have you been part-time or full-time? Please explain.*Which of the following best describes your progress?*Please select oneNothing BuiltSketchesMocks / RenderingsPrototypePrivate BetaPublic BetaTaking PreordersLaunched>$M Revenue in the Past 12 MonthsDo you have revenue?*NoYesHow much money do you spend per month?*How much money does your company have in the bank now?*How long is your runway?*(e.g. 5 months) Why did you pick this idea to work on? Do you have domain expertise in this area? How do you know people need what you're making?*What's new about what you're making? What substitutes do people resort to because it doesn't exist yet (or they don't know about it)?*Who are your competitors, and who might become competitors? Who do you fear most?*What do you understand about your business that other companies in it just don't get?*How do or will you make money? How much could you make?*(We realize you can't know precisely, but give your best estimate.)How will you get users? If your idea is the type that faces a chicken-and-egg problem in the sense that it won't be attractive to users till it has a lot of users (e.g. a marketplace, a dating site, an ad network), how will you overcome that?* Have you formed any legal entity (like an LLC) yet?*NoYesHave you obtained your 501(c)(3) tax-exempt status yet?*NoYesIf you have not formed the company yet, describe the planned equity ownership breakdown among the founders, employees and any other proposed stockholders.*Please provide any other relevant information about the structure or formation of the company.* Are any of the founders covered by non-competes or intellectual property agreements that overlap with your project? If so, please explain.*Who writes code, or does other technical work on your product? Was any of it done by a non-founder? Please explain.*Is there anything else we should know about your company?*(Pending lawsuits, cofounders who have left, etc.) If you had any other ideas you considered applying with, please list them. One may be something we've been waiting for. Often when we fund people it's to do something they list here and not in the main application.*Please tell us something surprising or amusing that one of you has discovered.*(The answer does not need to be related to your project.) This iframe contains the logic required to handle AJAX powered Gravity Forms.