Personal & Company Information
Name
*
First Name
Last Name
Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select the profile that best describes you:
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Undergraduate Student
Graduate Student
Recent Alum (graduated within last three years)
Faculty
University Name
*
Major/emphasis of study:
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Anticipated graduation or graduation date (MM/YYYY)
*
Tell us a little about yourself:
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LinkedIn Profile:
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If faculty, please attach CV
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Do you have co-founders?
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Yes
No
If yes, please list their names and roles:
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Name of company:
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Briefly describe what your company does:
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Product Development
What problem are you trying to solve?
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Why are you pursuing this product or idea? Why do you think there’s a need for it?
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What does your product do (or what are you hoping it to do)?
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Who will use your product? Who is your target customer?
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How far along are you in developing your product/idea? (idea, prototype, MVP, etc)
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How big do you think the potential market is for your idea/product?
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Who are your competitors?
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How is your product/idea different from the competition?
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How long have you been working on your idea?
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Have your efforts been:
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Full-time
Part-time
Less than part-time
Do you have customers using your product?
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Yes
No
Investment
How or will you make money?
*
Have you formed a legal entity for your company?
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Yes
No
If it’s an existing business, please attach your corporate documents.
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Have you received any funding for your business?
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Yes
No
If yes, how much?
*
Are you currently fundraising?
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Yes
No
Please attach any existing or proposed cap table documents and financial statements (last 12 months).
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Additional Questions
How did you hear about the fintechXstudio?
*
Why do you want to participate in the fintechXstudio?
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What are some of your expected outcomes from participating in the fintechXstudio?
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May we have your permission to send you further communications about our Fintechxstudio programs and updates?
*
Yes
No
Please attach any overview or product documents or decks if you have them.
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