SCFG 2022 Application

2022 Application Form
EXTENSION NOTICE

Thank you for your interest in applying for the Super Connect for Good Competition 2022.

We have extended the deadline with a final call for applications to Sunday 7th August 2022 (11:00pm UK Time). The following day applications are now scheduled to go through the due diligence and screening stage the next day.

Please submit your application below and note if you would like to draft your application and save it to continue later. This will enable you to save your draft for later access on a shareable link, or have it sent to you by email to finish later.

Example of a Successful Application HERE l Pitch Deck Guidance & Template HERE

Note: If you have already submitted an application and would like to use the extra time to update your applications, please email jemma@empact-ventures.com
Company Name *
Full Name*

First Name Last Name
Job Title *
City of Incorporation*
Email Address*
example@example.com
Website address*
LinkedIn Profile Address. If you do not have one, please add N/A *
Please select the region where your company is legally registered (one region). Note: Your selection will determine which Regional Judging panel will assess your application and if you need guidance on which region to tick, please visit the How it Works page at www.superconnectforgood.org*

D-A-C-H & NordicsFrance and BeNeLuxSouthern EuropeCentral and Eastern EuropeUK - LondonUK - North of England (North East, North West, Yorkshire, Midlands)UK - South of England (South East, South West, East of England)UK - Scotland and WalesIsland of Ireland (Northern Ireland and Republic of Ireland)Australia and New Zealand
DACH and Nordic Regional Applicants will need to further consent their application and for its purposes CLICK HERE . This is in line with the DACH and Nordic Hays privacy policy which can be found HERE
Please select if you are a Pre-seed Company. As a Pre-Seed Startups we’d expect you to have a working prototype, little to no funding, traction or exposure; initial seed capital between £/€0 -75,000. Pre-seed are only eligible to apply to the Pre-seed Challenge & the Impact Challenge as long as they have a working prototype website and company logo*

YesNo
Please select the appropriate Stage of Your Company and note we conduct due diligence to ensure you are selecting the correct option*

Tech Startup (Seed Stage) with a working Minimum Viable Product (MVP) or beta version, the initial founding team with initial seed capital between £/€75,000-500,000 and ideally though not essential some traction or initial revenueTech Scale-up (Series A) – with a scalable product, solid team with Series A funding between £/€2m – 10m with a growing user base traction and solid revenueTech Scale-up (Series B) – with a scalable product, solid team with Series A funding between £/€10m – 50m with a growing user base traction and solid revenue
What Innovation Area(s) does your product fit into? Note: Our 10 Innovation Stream Partners will assess applications to decide which 10 applicants in each stream will be invited to pitch live to them at the Top 100 Innovation Showcase on 13/10/21 - who will also feature in our Top 100 Innovation Showcase Report 2023. If you fit into 2 or more of the below verticals or you can also select the General Tech for Good box or if you don't fit into any verticals, please select it*

Artificial Intelligence (AI) for GoodEdTechHealthTechMedTechFood TechFinTech For GoodClimateTechGeneral Tech For Good
In our 2022 initiative, we have a specific Impact challenge in partnership with PACE XL & Presidium Network through our Create an Empact campaign. If you feel that your innovation could be adapted to support the crisis in Ukraine (in any way) or support refugees leaving the country. Please select the 'Yes' option below to be considered and note there is a £5,000 cash prize on offer to support the winner to adapt its innovation and £20,000 of business process optimisation consultancy from PACE XL with connections & expertise from Presidium Network*

Yes I would like to also apply for the Impact ChallengeNo
Please explain how you feel your innovation could support or be adapted to support crisis in Ukraine or its refugees? If you selected No, please enter N/A*
What is the minimum revenue (if any) that you are currently turning over PER MONTH? If you are pre-revenue, please put zero) *
Please list the funding you have raised to date (if any) in terms of investment, grants, loans or other source along with who has provided these funds. If you've not raised anything, please state if you have self-funded. Note: We conduct due diligence to verify these details, so please be honest and transparent below*
DEMONSTRATING YOUR TECH FOR GOOD
Please explain your company, product and how you enhance people's lives with it. Please add how you are creating or aiming to create a social impact in your own country and/or globally. You can include your measures, milestones and achievements or goals for the future *

0/500
Please upload your pitch deck (required) to support your application. Please note only one file is accepted (file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif) of maximum 10 MB please use smallpdf.com to reduce our file size. Feel free to use our Pitch Deck Guidance and Template Resource at the top of this page*
Please upload your company logo (required) to support your application. Please note only one file is accepted maximum size 5MB *
Do you want to participate in the free Application Support Call on Zoom to get assistance with your application or ask any questions to Empact Ventures?

24/06/2230/06/2207/07/22No
Based on your selected, please register for the support calls on Zoom below

24th June 2022 REGISTER HERE

30th June 2022 REGISTER HERE

7th July 2022 REGISTER HERE
GENERAL EXPRESSION OF INTEREST FIELDS
Which future events would you like to register for? Please only select the options you know you can join, so we can prepare the super connections appropriately.*

22nd June 2022 - OVHcloud Startup Program Showcase (All Verticals)Mastering Clinical and Technology Trials in MedTech 4 part 13th, 15th, 20th, 22nd Sept 202213th October 2022 - Super Connect For Good Top 100 Showcase (Virtual) - Innovation areas live judging (Mandatory if you are a Top 100 Innovation Finalist)24th Nov 2022 - Super Connect for Good Live (Virtual) Final - Hays & Empact Ventures (mandatory if you are a Regional Winner)None of the above
Super Connect Me: Select the option below if you'd like to be super connected to potential partners, clients or funders that match your interests. Note: All applicants will receive 5 free super connections, finalists will receive 7 and winners will receive 10. These will be facilitated up to 8 weeks after the Top 100 Innovation Showcase or Virtual Final depending on our capacity at the time.*

I would like to be super connected with free pre-matched super connections (where possible), I understand by selecting this option I consent for these connections to be made based on the details I've provided on this registration form and will follow up where possible. I agree for my information to be added to Empact Ventures' Super Connect Me platform (Free Service)I do not want to be super connected
Outcomes of Interest (‘what types of funding are you interested in?’). Note: This information will not be passed to the judges and it is simply for super connecting you to funders by email if you selected to join the Virtual Final and consent to be super connected*

PilotsContractsJoint Venture PartnershipsStrategic PartnershipsInvestmentGrant FundingDebt FinanceAcquisitionOther (if selected, must specify in new field to be revealed)None of the above
What are your Company Challenges right now? Note: This information will not be passed to the judges and it is simply for super connecting you to the organisations in brackets by email, if you selected to join the Virtual Final and be super connected*

Legal Challenge (Linkilaw Solicitors)Business Intelligence & Analytics Challenge (Fidsy)Building an Advisory / Executive Board Challenge (Board Room Advisors)Cloud Hosting Challenge (OVHcloud Startup Program: Get €10k Free Cloud Hosting Credits)Design Challenge (Hybrid Marketing)Web Development Challenge (Wissen)Quality Assurance Testing Challenge (Qapitol QA)Business Development Challenge (Empact Ventures)Marketing Challenge (Hybrid Marketing / Belu Media / Marketing Forward)Workspace Challenge (eOffice)Patent Box Challenge (ABGI UK)Grant Writing Challenge (Future Health / Driad / SG Financial)Investment Challenge (Angels Den / OutFund / Mirum Invest / Serica)Crowd-Funding Challenge - UK & Europe (Seedrs)International Investment Challenge (Lighthouse Global Solutions / Serica)Debt Finance Challenge (BizBritain / Ruffena Capital)PR Challenge (Briefly / Startups Magazine / HeathTech World / Maddyness)R & D Tax Challenge (CATAX / ABGI UK)Lead Generation Challenge (Belu Media)Recruitment Challenge (Hays)Accessing Employers for New Career Challenge (Skillsize)Expansion to China Challenge (Serica)Expansion to France (Invest Eastern France)Product Development Challenge (EG Technology)Industry Analyst Challenge (Holscher.one)
GDPR PREFERENCES

In line with GDPR, please select the relevant options provided by Empact Ventures Ltd, our sponsors and partners:
In line with GDPR, Empact Ventures Ltd would like to ensure we contact you in the right way and it would help us if you could inform us if you’d like us to reach out in future:

Empact Super Connecting Opportunities (e.g. reactive ad-hoc relevant introductions to useful individuals, funders organisations and/or opportunities)Super Connect Series Newsletter (e.g. latest opportunities for startups and scale-ups, resources, useful connections, future events etc.)Future Empact Ventures Events (e.g. Super Connect Series local events, Super Connect for Good Virtual, MedTech Conferences etc)Empact Support Options (e.g. Super Connect Memberships)None of the above
This event is run in collaboration with Hays Specialist Recruitment Limited ("Hays"). All personal information will be treated in the strictest of confidence and in accordance with region specific Hays' privacy policies, that you can view here
If you would like to receive information from Hays, about products to support start-ups and scale-ups, other services and events, please tick the box below.*

YesNo
Please review the Super Connect for Good 2022 Competition Terms here and Conditions, and select 'I agree' to submit your application
*

I agree
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2022 Application Form

DEMONSTRATING YOUR TECH FOR GOOD

GENERAL EXPRESSION OF INTEREST FIELDS

GDPR PREFERENCES