GEIR Application Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number

Please enter a valid phone number.

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?*

YesNo

Country of Birth*

Visa Status*

Visa Expiration Date*

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*

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?*

CV/Resume Upload*

Please attach any other documents you would like to be part of the review (Business Plan, Pitch Deck, etc.)

Any Questions