Alloy Growth Lab Application Form

1
Which Alloy Growth Lab program are you interested in applying for?* This field is required.Select multiple options if necessary
Morning Mentoring
Office Space/Lab-Space/Flex-Space
CoWorks, Virtual Office
Open Office Session - 30 min session
Not Sure - please follow-up
2
Company Name* This field is required.
3
Name* This field is required.
First Name
Last Name
4
Email* This field is required.
5
Phone Number* This field is required.
6
Date Company was Established?* This field is required.
Date
Year
Month
Day
7
Business Structure* This field is required.
Sole Proprietor
Partnership
C Corporation
S Corporation
Limited Liability Partnership
Limited Liability Company
8
Federal Employer Identification NumberLeave blank if you do not have this for your business
9
WebsiteLeave blank if no website
10
Social MediaLeave blank if no social media
Facebook URL
Twitter Handle
LinkedIn URL
Other
11
Company Description* This field is required.
50 words or less
12
Do you have a pitch deck? Upload here.Not required - but companies with a pitch deck will be given priority consideration.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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13
What Stage of Development is Your Business?* This field is required.Check all that apply
Ideation
Minimum Viable Product
Operational - less than 1 year
Operational - more than 1 year
Paying Customers
Scaling
Successful Capital Raise
14
The Problem* This field is required.What are you solving?
0/150
Huge
Large
Normal
Small
Ok
Ok
15
The Solution* This field is required.Why is it unique or revolutionary? What is your value proposition?
0/150
Huge
Large
Normal
Small
Ok
Ok
16
The Market* This field is required.Why is it the right time and who is your customer? Who are your partners? What does the competition look like? What is the size of the opportunity? Do you (or teammate) have experience in that market or industry?
0/150
Huge
Large
Normal
Small
Ok
Ok
17
The Revenue Model* This field is required.How are you going to make money?
0/150
Huge
Large
Normal
Small
Ok
Ok
18
The Team* This field is required.Why can you and your team execute? What makes the founders tick? What are the unique strengths that each member brings to the team?
0/150
Huge
Large
Normal
Small
Ok
Ok
19
Success* This field is required.What does success look like for your company? What milestones do you want to achieve - short-term and long-term?
0/150
Huge
Large
Normal
Small
Ok
Ok
20
The Ask* This field is required.Why do you want to work with the Alloy Growth Lab?
0/150
Huge
Large
Normal
Small
Ok
Ok
21
Last Fiscal Year Revenue* This field is required.
Type "0" if none
22
Business Owned By* This field is required.
Female 100%
Male 100%
Female at least 51%
Male at least 51%
23
Minority Owned Business* This field is required.
YESNO
24
Considering the Chairman, CEO, President leadership positions or company ownership in excess of 30%, please note representation from a race and ethnicity standpoint:* This field is required.Either one or more of the stated leadership positions or an ownership position above threshold meets the State of Ohio definition of representation.
Hispanic, Latino, or Spanish Origin
American Indian or Alaska Native
Asian/Asian Indian
Black or African American
Native Hawaiian or Other Pacific Islander
White
25
How Did You Hear About the Alloy Growth Lab?* This field is required.
Social Media
Event
Web
Word of Mouth
Print
TV, Radio
26
Signature* This field is required.The information in this application is provided for the purpose of applying to the Alloy Growth Lab. Additionally, I grant permission to the Alloy Growth Lab, the unrestricted right to reproduce the photographs and/or video images taken of me for the purpose of publication, promotion, illustration, advertising, or trade in any manner or in any medium. Furthermore, I grant permission to use my statements that were given during Alloy Growth Lab events with or without my name, for the purpose of advertising and publicity without restriction.
Clear
27
Signature Date* This field is required.
Date
Year
Month
Day
Should be Empty: