Program Interest Form
Which BEN Program(s) are you interested in?
*
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 Incorporation
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website
*
LinkedIn Profile
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?
*
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)
Interim CEO / Turnaround leader
Exits (M&A)
Other
What are the top scaling challenges you are currently facing?
*
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
*
0/200
On a scale of 1-5, how urgent is your challenge?
*
Not Urgent
1
2
3
4
Very Urgent
5
1 is Not Urgent, 5 is Very Urgent
How did you hear about BEN?
*
Submit
Should be Empty: