Program Interest Form
Which BEN Program(s) are you interested in?
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Signature Program
Denver ScaleUp Network
Think Tank
Inclusive Impact Catalyst
Name
*
First Name
Last Name
Email
*
example@example.com
Title
*
Company Name
*
Location of Business
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website
*
LinkedIn Profile
Industry
*
Please Select
Aerospace
Bioscience/Life Sciences/Digital Health
Consumer Packaged Goods (e.g., Natural Products)
Energy (e.g., ClimateTech, CleanTech)
Finance
Healthcare
Manufacturing
Nonprofits
Outdoor Recreation
Technology—Software
Technology—Hardware
Technology—SaaS
Technology—Telecom
Other
Industry (Other)
How many employees do you currently have? (FTE, Contract, Fractional, etc.)
Full-Time, Part-Time, Contract, Fractional, etc.
How much capital has your company raised to date?
e.g., $1,000,000
What is your top-line annual revenue?
e.g., $1,000,000
What was your company’s growth over the past 12 months?
Please include revenue growth % if applicable. If pre-revenue, share other indicators of growth such as customer growth, active users, pilots, signed contracts, partnerships, or product adoption.
What is the current stage of your business?
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Startup — Pre-revenue (ideation/prototype, no sales)
Startup — Post-revenue (first customers, pilot revenue)
Early stage (MVP/early traction)
Growth stage (scaling customers and revenue)
Small business (<$10M revenue)
Middle market ($10M–$1B revenue)
Large enterprise (>$1B revenue or public company)
Other
What are the top scaling challenges you are currently facing?
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AI/LLM Integration
Capital Readiness
Cash Flow
Customer Acquisition
Customer Retention
Financial Forecasting
Go-to-Market
Hiring Strategy
Legal Compliance
Marketing Strategy
Operations Scaling
Partnerships Strategy
Pricing Strategy
Process Automation
Product-Market Fit
Revenue Model
Sales Enablement
Sales Pipeline
Strategic Planning
Team Leadership
Unit Economics
Other
Please elaborate on your challenges
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0/200
On a scale of 1-5, how urgent is your challenge?
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Not Urgent
1
2
3
4
Very Urgent
5
1 is Not Urgent, 5 is Very Urgent
How did you hear about BEN?
*
If possible, a specific name, group, community, event, or website helps us connect the dots. Thank you!
Submit
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