GEIR Application Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your University, Degree, Date Awarded/Expected
*
Your LinkedIn Profile
*
Where Are You Currently Located?
*
Do you wish to participate in the Global Entrepreneur in Residence program?
*
Yes
No
Country of Birth
*
Visa Status
*
Visa Expiration Date
*
-
Month
-
Day
Year
Date
Company Name
*
Company Website
*
Current Company Financing
*
Have you raised funding? If yes, please provide more details. If no, how are you funding your startup? Verification documents maybe requested upon acceptance.
Size of Your Team
*
Please Select
1
2-3
4-5
6+
Co-Founder Roles
*
Please list the names and roles of all co-founders in your team, and give brief details about each co-founder’s work experience.
Unique Value Proposition
*
Please summarize the benefit of your offer, how you solve your customer's needs and what distinguishes you from the competition
Market Prospects
*
What is the market size for this business? Who are your biggest competitors? How are you better than those competitors?
Traction
*
Have you built a product prototype, run a pilot or acquired customers?
Business Model
*
How will the business make money?
Next Major Milestones
*
How Can We Help You Grow Your Company?
*
Briefly Describe Your Product Or Technology And Value Proposition (500 words or less)
*
E.g., uniqueness, focus, disruptive potential, scalability.
Briefly Describe Your Potential Target Market (500 words or less)
*
Traction To Date? (500 words or less)
*
i.e., funding, employees, customers, technology milestones.
Competitive Advantage (500 words or less)
*
E.g., advanced specializations/pedigree of founder[s], founder experience, pre-existing work/IP.
Value Added Potential For University Faculty And Students (500 words or less)
*
Potential Impact For The Commonwealth Of Massachusetts (500 words or less)
*
How Did You Hear About the VDC?
*
Please Select
Investor or Law Firm
Social Media
VDC Blog Site
Colleague
Internet Article
Web Search
Others
CV/Resume Upload
*
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