Forms

Intake Form

INSTRUCTIONS: We respect your time and have designed this form to be brief. It is intended to take 15 to 20 minutes to complete. If you'd like to provide more in-depth information or documentation, that is welcome but not required. This document is meant to serve as a baseline so that we can evaluate prior to a formal meeting.
Name of the company*
Name of the Contact Person*

First NameLast Name
Title:*
Email Address:*
example@example.com
Phone Number:*
Please enter a valid phone number.
Website:
Company Address:*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Year Founded:*
Legal Entity Type:*
Number of Employees (FTE):*
List key management team members and their relevant experience in agriculture, technology, or business:*
Number of Employees (PTE):*
Mission Statement:*
Brief Description of your solution/product/service:*
What specific problem does your solution address?*
What is your target market?*
Current stage of development:*
Key milestones to date:
Highlight any advisory board members or key investors:*
Describe your core technology/innovation in detail:*
What makes your technology unique or proprietary? (e.g., patents, trade secrets)*
What scientific/technical validation has your solution undergone?*
What are the key benefits of your solution for your customer?*
How does your solution integrate with existing practices or infrastructure?*
What is the estimated Total Addressable Market (TAM) for your solution?*
What is the estimated Serviceable Obtainable Market (SOM) for your solution?*
What is the estimated Compound Annual Growth Rate (CAGR) for this sector?*
Who are your primary competitors?*
What is your competitive advantage?*
What are the key market trends driving demand for your solution?*
How do you plan to acquire customers?*
What round are you currently raising?*
Timeline to close the current round?*
Is the business currently generating revenue?*

YesNo
What is the total amount of funding you are seeking?*
What is the minimum check size you are looking for?*
What is your proposed use of funds? (e.g., R&D, marketing, team expansion, capital expenditure)*
What is your current valuation (if applicable)?*
What is your projected revenue for the next 1-3 years?*
What are your key financial metrics (e.g., customer acquisition cost, lifetime value, gross margin)?*
Have you raised previous funding?*

YesNo
If so, from whom and how much?
What is your exit strategy for investors?*
Attach your latest financial statements (P&L, Balance Sheet, Cash Flow Statement)

Cancelof
Attach your investor deck/pitch deck.

Cancelof
Are there any relevant agricultural regulations or certifications that apply to your solution?*

YesNo
Are there any pending or past legal disputes?*

YesNo
Is there any other information you believe is important for us to consider?
Should be Empty:

Intake Form