Startup Activator Community Network
Thank you for your interest in joining our Startup Activator community. Please complete the form below to be added to the network. Please note this is for founders or C-Suite team members in digital and tech startups.
Name
*
First Name
Last Name
Email
*
example@example.com
Founder LinkedIn profile
*
Business Name
*
Phone Number
-
Phone Number
Would you like to be added to the Startup Activator WhatsApp group?
Yes (please ensure you have provided a phone number above)
No
Location
*
Please Select
Manchester City Centre
Stockport
Trafford
Oldham
Rochdale
Wigan
Trafford
Salford
Manchester
Tameside
Bury
Bolton
Other
Briefly describe your tech startup
*
Sector
*
Please Select
Adtech & Marketing
Aerospace & Spacetech
Agritech & Foodtech
AI
Climate Tech
Cybersecurity
Data Analytics & Business Intelligence
Defence Tech
Digital Entertainment & Creative tech
E-commerce & Marketplace
Edtech
Energy
Femtech
Fintech
Gaming
Healthtech
HRtech
Insurtech
Lawtech
Leisure, travel & tourism
Proptech
Retail tech
Smart cities
Waste Management
Other:
How would you describe the current stage of your startup?
*
Idea
Prototype
Early traction
Growth
Other
How many people are in the business (including yourself)
*
Do you want to be considered for our six month support programme, or just want to join our Startup Activator network?
*
Six month Initiate programme and Startup Activator network
Just the Startup Activator network
What is the main benefit that you hope to take away from being part of our Startup Activator programme? Are there any specific resources or expertise you are seeking?
*
What are the primary challenges you hope to address with the support of the Activator?
*
Have you participated in any other start up support programmes?
Yes
No
If you answered Yes to the above question, which programme/s have you participated in?
Have you secured any funding or support for your startup so far?
Yes
No
If yes, what stage of funding have you received? (E.g. Pre-seed, seed, series A etc)
Please note
The following questions request personal information around characteristics.This information is for monitoring and evaluation purposes to ensure we and our funding partners are supporting a diverse pool of individuals, and reaching individuals with protected characteristics. If you prefer not to answer some or all of these questions, we respect that and there is an opt out option throughout. Thank you for your understanding about the importance of us gathering this data. If you would like to discuss this please contact alice@manchesterdigital.com.
What is your gender?
*
Male
Female
Non binary
Another gender identify
Prefer not to say
What is your ethnic group?
*
Asian or Asian British
Black, Black British, Caribbean or African
Mixed or multiple ethnic groups
Other ethnic group
White
Prefer not to say
Which of the following best describes your sexual orientation?
*
Straight or heterosexual
Bisexual
Gay or Lesbian
Pansexual
Asexual
All other sexual orientations
Prefer not to say
Do you have any physical or mental health conditions or illnesses lasting or expected to last 12 months or more?
*
Yes
No
Prefer not to say
Submit
Should be Empty: