E4Impact Accelerator Application Form

PART 1: Basic Information

PART 2: Executive Summary

SECTION 1: PROBLEM/ OPPORTUNITY AND SOLUTION *
SECTION 2: MARKET & COMPETITIVE ADVANTAGE*
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2
3
4
5
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2
3
4
SECTION 3: REVENUE MODEL AND FINANCIALS*
Year 2017 2018 2019 2020
Total revenue
Cost of Goods/Services sold
Gross Profit
SECTION 4: IMPACT*
TRACK RECORD AND NEXT STEPS
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2
3
BUSINESS SUPPORT AND INVESTMENTS *

If you have ever received any form of investment, please indicate below

Form of investment How Much(in US Dollars)
Grant
Equity
Debt
Other (Specify)    

Team Bios

Founding Members
Name Role in the company Experience
1.
2.
3.
4.
5.


BOARD OF DIRECTORS /ADVISORY BOARD / MENTORS (Please indicate below if existing)
Name Experience / Skills
1.
2.
3.

Part 4: Video Pitch & Marketing Information

Section 1: LINK TO AN ENTERPRISE VIDEO

Instructions

  • Upload to YouTube, Vimeo, or another website a short video (less than 2 minutes) that brings your enterprise to life
  • This is a key opportunity for your team to tell your story, share your vision and explain how your enterprise works. Include the link in the submission.
Section 2: MARKETING INFORMATION
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2
3

Review And Submit

Please review each section to ensure you have submitted the correct information!