Proof of Concept 2.0 Fund Application
Primary uses for this fund are Customer Acquisition, Market Research, Technology Purchase, Product Development, although other uses will be considered.
Contact Information + Team
Share the name of your startup and founder/key personnel information
Startup Name
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Entrepreneurs Involved (click Add Row to include additional personnel)
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Configuration
Where is your startup based?
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Please Select
Berrien County
Cass County
Elkhart County
Marshall County
St. Joseph County
This fund is exclusively for startups in the five-county region served by Startup South Bend - Elkhart and the South Bend - Elkhart Regional Partnership. Note: In order to complete the funding process, the startu
Team Description
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Tell us a little bit about you and (when applicable) your teammates. What background and experience has led you to this business or business idea?
Use and Justification
What project would you pursue with this grant and how would you use the money?
How much are you asking for?
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Maximum award is $5,000
Industry
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Please Select
Education
E-commerce
Technology (hardware)
Technology (software)
Healthcare
Consulting
Community Development
Manufacturing
Food
Other
If "Other", please describe:
Use Category
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Please Select
Customer Acquisition
Market Research
Technology Purchase
Product Prototyping
Matching Grants
Other
If "Other", please describe:
Project Summary
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Please provide a brief summary of the project, the business model, potential or existing customers, what market gap is being addressed, and any validation you have carried out to date.
(Optional) Are you solving a problem for your community/region?
A problem can be many things: a lack of access to specific services or products, an improvement to an existing process, the more efficient use of resources, a solution to a gap in the marketplace, etc.
Fund Justification
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Provide a summary of how you will use the funds to grow the business
(Optional) Is there a file you would like to share as part of your application?
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Milestones, Timeline and Deliverables
Describe the direct outputs that will measured at the end of the proof of concept period. At least one milestone and deliverable is required. (Examples: I will have 10 new customers within 6 months, OR I will have a working prototype by January, OR I will attend a relevant industry conference on March 30, etc.)
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Rows
Outputs/Success Measures
Estimated Delivery Date
Proof of Concept Activity 1
Proof of Concept Activity 2
Proof of Concept Activity 3
Proof of Concept Activity 4
Proof of Concept Fund Agreement
I/We hereby acknowledge the information provided is accurate and complete to the best of my/our knowledge
Note on Funding Requirements
Please ensure that the bank account receiving funds is registered under your startup’s legal name. For compliance and processing, the account name must match the name of your business as listed on your Proof of Concept Fund application
Type Your Complete Name:
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Date
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Month
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Day
Year
Date
Submit
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