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?* Consumer Technology Social Cultural Innovation Health Sciences Do you require wet lab space for your venture?* Yes No Do you require storage space larger than a file cabinet for your venture?* Yes No Market 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-Profit Non-Profit Progress 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 Affiliation Graduation Year Will the Team Lead work at the Launch Lab on a regular basis (at least 1 day/week)?* Yes No Team 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 months 3-6 months 6-9 months 9-12 months 12-18 months 18+ months How many employees do you expect to have in one year?* 0-2 3-5 6-8 9-10 10+ 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 week 1 time per day few times a week Less than once a week Never How did you hear about the ScaleUpLab?*Is there any additional information that you think would be helpful to explain?* Δ
