Founder in Residence (FiR) Application
Welcome to the application for the FiR program! Â This application is for both CTO & CEO founders interested in the residency program. Â The application takes most individuals less than 10 minutes and helps us better understand your professional and entrepreneurial background. Â Please complete it when you have a chance and feel free to email us at info@launchfactory.com if you have any questions. Â We look forward to reviewing the information you submit!
Personal Information
UTM_Source
UTM_Medium
UTM_Campaign
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Base
*
Example: San Diego, CA
Are you a citizen or lawful permanent resident of the United States?
*
Please Select
Yes
No
Are you authorized to live and work in the US without visa sponsorship from an employer?
*
Please Select
Yes
No
Please describe your current US immigration status and visa type.
*
Are you applying as a CEO or CTO?
*
Please Select
CEO
CTO
Resume Upload
Browse Files
Drag and drop files here
Choose a file
PDF files only
Cancel
of
Links
LinkedIn URL
Twitter URL
Other website
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Demographic Survey (optional)
Launch Factory values diversity and we are always looking for opportunities to better our team. We invite you to complete this optional survey to help us evaluate our diversity and inclusion efforts. Submission of the information on this form is strictly voluntary. Refusal to provide it will not subject you to any adverse treatment or affect your application. Information obtained will be kept securely and confidentially, separately from your name or application.
How do you describe yourself?
Please Select
Male
Female
Female-to-Male (FTM)/Transgender Male/Trans Man
Male-to-Female (MTF)/Transgender Female/Trans Woman
Genderqueer, neither exclusively male nor female
Additional gender category or other
Choose not to identify
How do you identify your sexual orientation?
Please Select
Straight or heterosexual
Lesbian, gay or homosexual
Bisexual
Something else
Choose not to identify
Age
Race or ethnic origin
American Indian
Asian or Pacific Islander
Black
Hispanic
White
Other
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Tell Us About Yourself
What are your current entrepreneurial goals and why do you want to co-found your next company with Launch Factory?
*
Tell us about your prior product launch successes, especially B2C. If you're a CEO highlight any role you played in devising and executing the go-to-market strategies that drove those successes. If you're a CTO, highlight your role in designing and developing the product to meet customer needs.
Skills
Please rank each of the skills in how you perceive your knowledge of said skill:
Leadership & Management
*
Basic Knowledge
1
2
3
4
Recognized Authority
5
1 is Basic Knowledge, 5 is Recognized Authority
Product Management
*
Basic Knowledge
1
2
3
4
Recognized Authority
5
1 is Basic Knowledge, 5 is Recognized Authority
Marketing & Branding
*
Basic Knowledge
1
2
3
4
Recognized Authority
5
1 is Basic Knowledge, 5 is Recognized Authority
Sales & Business Dev.
*
Basic Knowledge
1
2
3
4
Recognized Authority
5
1 is Basic Knowledge, 5 is Recognized Authority
Ops. / Program Management
*
Basic Knowledge
1
2
3
4
Recognized Authority
5
1 is Basic Knowledge, 5 is Recognized Authority
AI / ML Experience
*
Basic Knowledge
1
2
3
4
Recognized Authority
5
1 is Basic Knowledge, 5 is Recognized Authority
Software Engineering
*
Basic Knowledge
1
2
3
4
Recognized Authority
5
1 is Basic Knowledge, 5 is Recognized Authority
UX / UI & Graphic Design
*
Basic Knowledge
1
2
3
4
Recognized Authority
5
1 is Basic Knowledge, 5 is Recognized Authority
Finance / Accounting
*
Basic Knowledge
1
2
3
4
Recognized Authority
5
1 is Basic Knowledge, 5 is Recognized Authority
Startup Fundraising
*
Basic Knowledge
1
2
3
4
Recognized Authority
5
1 is Basic Knowledge, 5 is Recognized Authority
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Founder Experience
Have you been the founder of a startup business you owned or co-owned?
*
Yes
No
How many startup businesses have you previously owned or co-owned?
*
Which of the following would BEST describe your startup (a startup you exited or your most successful startup)?
*
A start-up business with a slow but steady growth trajectory
A start-up business with plans for hyper-growth
An established small or mid-sized business of which I am the sole owner
An established small or mid-sized business of which I am part owner
A franchise business
A large business with a national or global brand
I am an independent contractor/consultant
Other
In the startup referenced in the question above, which of the following best describes the funding approach? (select multiple if applicable)
*
Self-funded
Individual investors (Angel, Family Office)
Institutional investors
N/A
Other
In the startup referenced in the question above, what was the total amount of funding raised?
Input dollar amount
Have you previously exited a startup business that you owned or co-owned?
*
No
Yes
How did you exit this venture?
*
Acquisition
Merger
IPO
Buyout
Other
Please indicate the name of the company you exited
*
Input company name
How many employees did your business have at time of exit?
*
Number of employees
What was the valuation of your business at time of exit?
Input dollar amount
How many total startup businesses have you exited successfully?
*
Current Employment Status (check as many as apply)
*
I'm looking for my next opportunity
Work for myself/own my own business
Co-own a business
Work for a for-profit organization
Work for a not-for-profit organization
Work for a governmental entity
Launch Factory is based in San Diego, CA and we support in-office collaborative work. Are you willing to relocate to San Diego for the role?
*
Yes
No
Other
Are there any other details you would like to clarify about your past experience?
Submit
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