Venture InformationVenture Name*Website (optional) High-concept pitch. In one line, briefly describe what your venture does in a way that we'll get it.*How long have you been working on this idea?*With what industry does your venture most closely align?*ConsumerTechnologySocialCultural InnovationHealthSciencesDo you require wet lab space for your venture?*YesNoDo you require storage space larger than a file cabinet for your venture?*YesNoMarket OpportunityWhat’s the problem you are looking to solve? Describe the market opportunity.*Describe your solution (what will you make or do)? For whom are you solving this problem?*How do you intend to acquire customers or reach your key stakeholders?*How big is your market, what % of that market do you hope to capture, and what segment do you plan to capture first?*Who are your competitors, and who might become competitors?*Are you for-profit or non-profit?*For-ProfitNon-ProfitProgress to DateWhat potential industry partners and/or customers have you met with to validate your idea?*How far along are you in developing your venture’s product/offering?* Patent filed Completed prototype or proof-of-concept Actively developing product/offering Have working product/offering, currently being “beta” tested by users Have working product/offering in production/on the market None of the above What is your funding model and/or plan to generate revenue?*How much funding have you received to date?*0 – $250,000$250,000 – $500,000$500,000-$1,000,000$1,000,000-$3,000,000$3,000,000+Please itemize the amounts from each source. (i.e. Competition/Challenge Prizes; Friends/ Family; University funded/grants; Angel funding; Venture Capital; Crowdfunding; Revenue.)*Have you participated in any other startup incubator or accelerator programs for this venture?*Share with us your timeline and corresponding goals for the next 9-12 months.*Describe your strategy for achieving these goals.*Biographic Background InformationName of Lead Team Member* First Last Email* PhoneTeam Lead's Primary Role*Team Leader's School AffiliationGraduation YearWill the Team Lead work at the Launch Lab on a regular basis (at least 1 day/week)?*YesNoTeam MembersHow many team members (including yourself) will be utilizing the Launch Lab?How many desks will you need for your team?Space/CommunityWhy do you want to be part of the ScaleUpLab ?*We encourage teams to "pay it forward" to the community. Please indicate a topic on which you could contribute to a roundtable discussion, or a community-building event you could organize during your time at the ScaleUpLab, if accepted.*If accepted, when are you available to move in?*How long do you see yourself utilizing this workspace?*0-3 months3-6 months6-9 months9-12 months12-18 months18+ monthsHow many employees do you expect to have in one year?*0-23-56-89-1010+What other primary positions are you seeking to fill in the next year?*If you have ever participated in the ScaleUpLab Accelerator Program (VIP), please let us know during which time period. (Select all that apply)Where are you currently located?*Please describe your current work environment.*What type of work environment are you looking for?*What services would you want/need from the ScaleUpLab?*How often will you be needing a conference room?*More than once a week1 time per dayfew times a weekLess than once a weekNeverHow did you hear about the ScaleUpLab?*Is there any additional information that you think would be helpful to explain?*
