Accelerator Application
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Founder Information
Founder Name
*
First Name
Last Name
Founder Email
*
example@example.com
Founder Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
LinkedIn Profile URL
Business Name
*
Business City and State
*
Business Website
Are you a first-time founder?
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Yes
No
Are you working on this business full-time?
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Yes
No
About how many hours per week are you actively working on the business?
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Please Select
Less than 10
10–20
20–30
30+
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Business Information
Tell us about your business.
In 2–4 sentences, describe what you're building, who it's for, and the problem it solves.
Which best describes your business today?
*
Please Select
I am exploring an idea
I have defined the problem and customer
I am building a prototype or MVP
I have launched and have early users or customers
I have paying customers and growing traction
I have consistent revenue and am working on scaling
How long have you been working on this business?
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Please Select
Not yet started
Less than 6 months
6 to 12 months
1 to 3 years
3+ years
Which industry best fits your business?
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Please Select
Construction or Built Environment
Consumer Products
Education
Finance or FinTech
Food or Hospitality
Healthcare
HR or Future of Work
Media or Entertainment
Real Estate or PropTech
Retail or E-commerce
Services
Social Enterprise or Nonprofit
Technology or SaaS
Transportation or Logistics
Other
Which best describes your healthcare focus?
*
Please Select
Provider
Payor
Medtech or Device
Consumer Digital Health
Care Delivery / Health Services
Healthcare IT or Workflow
Life Sciences
Behavioral Health
Population Health / Value-Based Care
Other
Which best describes your business model?
*
Please Select
B2B
B2C
B2B2C
Marketplace
Other
What best describes your current product or service readiness?
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Please Select
Idea only
Concept defined
Prototype
MVP built
Launched product or service
Repeatable offering with active customers
Do you currently have customers or users?
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Please Select
No
Yes, non-paying users
Yes, pilot customers
Yes, paying customers
Yes, repeat or recurring customers
What is your team size today, including yourself?
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Where You Are Right Now
How many customer discovery or sales conversations have you completed?
*
Please Select
0
1 to 10
11 to 25
26 to 50
50+
What is the clearest evidence that this business solves a real problem?
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What are you most trying to figure out right now?
Validate whether this is a real problem worth solving
Clarify who my ideal customer is
Better understand customer needs and buying behavior
Build or improve my product or service
Achieve product-market fit
Find my first customers
Create a repeatable sales process
Improve pricing and packaging
Increase revenue and profitability
Build systems and processes that scale
Hire, manage, and lead a stronger team
Improve focus, execution, and accountability
Raise capital
Navigate healthcare stakeholders, compliance, or reimbursement
Determine the best next strategic move
Other
What areas of your business do you need the most support with right now?
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Clarifying Vision, Strategy, and Priorities
Leadership Development and Decision-Making
Branding and Positioning
Marketing and Customer Acquisition
Sales Process and Revenue Growth
Product Development and Product-Market Fit
Business Model and Financial Modeling
Profitability and Cash Flow Management
Raising Capital
Team Building and Culture
Operations and Systems
Technology and Automation
Healthcare Market Navigation, Regulation, and Reimbursement
Other
What would success look like for you over the next 6 to 12 months?
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Why is now the right time for you to participate in a program?
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Total revenue for previous year
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What is your current annualized revenue or most recent 12-month revenue?
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Total founder cash invested to date
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Total personal cash you've put into the business
Total grant funding received
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Total investor capital raised
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Total debt leveraged to date
*
Are you prepared to invest in a program fee at this time?
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Yes
No
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About You
This section is optional and used for aggregate reporting purposes only. Your answers have no impact on your application or selection.
Race and ethnicity
Please Select
American Indian or Alaskan Native
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
White
Prefer not to respond
Other
Gender
Please Select
Female
Male
Non-Binary
Prefer not to respond
Other
Do you identify as LGBTQIA+?
Please Select
No
Yes
Prefer not to respond
Pronouns
Have you served in the military?
Please Select
No Military Service
Active Duty
Veteran
Prefer not to respond
Do you have a disability or chronic condition?
Please Select
Yes
No
Prefer not to answer
If yes, are there any access needs the EC should know about?
How did you hear about the EC accelerator?
*
Please Select
Search Engine
Friend or Colleague
Conference or Event
Partner Organization
EC Employee
EC Advisor
EC Program Alumni
EC Email Newsletter
Instagram
LinkedIn
Facebook
TikTok
Other
If other, how did you hear about the EC accelerator?
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