Membership Application Form

Please initial below that you have read and reviewed the terms of access and use document linked above. *

Would you like to purchase parking tag(s) for the 314 Jefferson Street (Opportunity Machine) Gated Access Parking Lot? ($20/parking pass)

YesNo
How many parking tags (314 Jefferson Street/Opportunity Machine) would you like to purchase? ($20/parking pass)
Please list below the names of the individual(s)/car make(s)/car model(s)/car color(s) assigned to the parking pass - one person per parking pass. (This information is required but if not currently available can be reported to the Opportunity Machine Office Administrator before a parking pass is assigned)

Hi there! Are you interested in applying for the Builder Program?

Applicants accepted into the Opportunity Machine's Builder Program can receive access to additional programming, mentorship, perks, discounts, and space.

OM’s Builder Program best suits innovation-led, high-growth, or STEM related startups.

Participants will be required to complete a multi-week customer development program, participate in mentor sessions, and provide monthly reports outlining key metrics/performance indicators in order to retain their acceleration status. This multi-week program is offered 3 times per year (Spring, Summer, Fall).

Good news! We accept applicants for the Builder Program on a rolling basis - please indicate below if you are interested in joining our waitlist for a future program (Fall 2025).

Heads up! If you have trouble answering any of the questions in the next few sections please feel free to send us a note or give us a call!

Email: hello@opportunitymachine.org

Office Main Line: 337.769.4085
After learning more about the Opportunity Machine Builder Program, I am interested in applying and providing additional information to do so*

Yes, I am interested in participating in a multiweek program in Fall 2025.No, I would like to be considered for another date.No, I already have proof of product market fit.No, I would like to apply for membership only.

Are you a founder of the business?*

YesNo
How many founders does the startup have?*
Do not include yourself if you indicated yes above
Please fill out the information on the following pages in reference to any founders (not including yourself) associated with the startup.

We are excited to meet your founding team!

You indicated there are more founders that we will have the opportunity to learn more about. We only initally require information about the first five founders but will certainly follow up directly with you to learn more about the rest of your team!

Aside from founders, how many people are currently employed in the business?
Employees: Within Lafayette Parish*
Employees: IN TOTAL (Include within Lafayette Parish)*
How many full-time positions do you anticipate creating within the next one to three years within Lafayette Parish? Please specify how many per year.
Job Creation: Year 1*
Job Creation: Year 2*
Job Creation: Year 3*

What problem are you solving?*
1-4 Sentence Description
What is your product or service? *
1-4 Sentence Description
Please provide a brief description of your target customer?*
1-4 Sentence Description
How does your product/service solve this customer’s problem? *
1-4 Sentence Description
How will you generate revenue?*
1-4 Sentence Description
This month our target revenue is...*
During the next 6 months we anticipate our revenue to be...*
During next 12 months we anticipate our revenue to be...*
Our target revenue for the next 3 years is...*
During the next 6 months our main expenses will total...*
Provide a dollar amount above
My top 3 expenses are...*
Provide a list of expenses
During the next 12 months our main expenses are projected to be...*
Provide a dollar amount above

Please provide the names of 2-4 competitors?*
BONUS POINTS! Include website URLs
How does your solution differ from your competitors?*
Is there any intellectual property (trade secrets, copyrights, patents) potentially associated with your idea/business?*

Yes, our company is working to secure IP protection now.Yes, our company has protected IP.NoOther
Please describe what you anticipate your idea/business’s greatest potential risks to be:*