Pitch Form

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Are all of the following true: 1) Your company is headquartered or has a legal base in the US. 2) Your product or service is more than just an idea (i.e. you have a prototype or MVP). 3) You have a pitch deck that contains at least the slides outlined on Adaptation's Apply page. 4) You are raising a pre-seed or seed round of funding. 5) Your product or service directly or indirectly impacts people with disabilities or you want to expand you current market base to serve them. 6) Your product or service is not related to crypto, gambling, marijuana, or pharmaceuticals (diagnostics and medical devices are okay).* This field is required.
Yes
No
2
It doesn't look like your company fully aligns with our approach. You can revisit our approach on our website. If you have questions, email hello@adaptation.vc. If you still want to continue, that is your choice, but your chances of being contacted for a pitch meeting are slim.
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Company Name* This field is required.
4
Company Website* This field is required.Must start with www or https://
5
Your First Name* This field is required.This should be a Founder or CEO
6
Your Last Name* This field is required.
7
Your Email* This field is required.
8
Your LinkedIn* This field is required.Must start with www or https://
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LinkedIn URL of Second Founder (if any)Must start with www or https://
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US Headquarters City* This field is required.
11
US Headquarters State* This field is required.
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Give us your elevator pitch* This field is required.300 character max
13
Which of the below does your product/service impact?* This field is required.Select all that apply
ADD/ADHD
Autism
Autoimmune Diseases
Blind/Low Vision
Caregiver
Chronic Pain Disorders
Deaf/Hard Of Hearing
Deafblind
Dysgraphia
Dyslexia
Dyspraxia
Inflammatory Bowel Diseases
Intellectual Disabilities
Limb Difference
Mobility Impairment
Neurological Disabilities
Older Adults
Sensory Disabilities
Speech Impairment
Spinal Cord Injury
Traumatic Brain Injury
Other
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Industry* This field is required.
Care/Support
Clothing/Apparel
Digital Accessibility
Diagnostics and/or Prevention
Education
Entertainment/Games
Events and Event Planning
Fitness/Sports
Future of Work/Workplace
Fintech
Government/Social Services
Home/Independent Living
Insurance
Medical Device/DME
Mobility and/or Prosthetics
Rehabilitation
Retail Experience
Socialization
Transportation
Travel
Other
15
Which category best applies to what you are building and selling?* This field is required.
SaaS
Hardware
SaaS and Hardware
Service Only
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How do you sell?* This field is required.
B2B
B2C
B2G
B2B2C
Marketplace
DTC
Other
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Current Funding Stage* This field is required.
Friends and Family
Pre-seed
Seed
Seed+
Series A
Later than Series A
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Which best describes your progress?* This field is required.Be honest. There is no right answer.
You have an idea and are working on validating the idea.
You are working on a prototype or MVP (minimum viable product).
Your MVP is complete. No customers. No revenue.
Your MVP is complete. You have customers. You don't have revenue.
Your MVP is complete. You have customers. You have revenue.
You are on V1 or later of your product. You don't have customers. You don't have revenue.
You are on V1 or later of your product. You have customers. You don't have revenue.
You are on V1 or later of your product. You have customers. You have revenue.
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Round Size ($)* This field is required.Please put the full number
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Do you have a lead investor?* This field is required.
No, but I'm currently looking for one
Yes
No and I am not looking for one
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Investment Instrument* This field is required.
Not Yet Determined
SAFE
Convertible Note
Priced
Other
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When are you looking to raise?* This field is required.
I'm raising now
3-6 months
6-9 months
9 months-1 year
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What do you need the most help with right now?* This field is required.
Marketing
Procurement/Sales
User Design
Product Development
User Testing
Price Modeling
Compliance
Fundraising
Other
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What about you (founder) and your business makes you a better investment than your competitors?500 character max
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What about your business keeps you up at night?300 character max
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What about your business makes you the most excited?300 character max
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Upload Deck PDF* This field is required.Yes, we know this is old-fashioned, but we have our reasons.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Do any of the founders identify as the following?* This field is required.
Having a disability
LGBTQIA+
BIPOC
Female
Veteran
Prefer not to disclose
None of the above
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Is there anything else you'd like us to know? (include referral, if any, here)250 word max
0/250
Huge
Large
Normal
Small
Ok
Ok
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Please verify that you are human* This field is required.
Should be Empty: