Student Venture Launchpad

Student Venture Launchpad — Application

Complete this 15–20 minute form with your details, business concept, and how you’ll use the seed grant if selected.
Applicant Information
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
CodeBoxx Program Completed
Completion Date

MonthDayYear
Date
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Currently enrolled in another incubator or accelerator program receiving funding for this same business?
Applicants under 18 must have a parent or guardian co-sign the grant award agreement if selected. Parent/Guardian Name and Email
Business Concept
Business name or working name
What problem does your business solve?
Who are your customers?
Describe your business concept
How will you use the tech skills gained at CodeBoxx?
Current stage of your business
Use of Funds & Plan
How will you use the seed grant?
6-month plan
What does success look like at 6 months?
Community & Mission Fit
Does your business serve an under-resourced community?
If yes, briefly describe the community your business serves.
Acknowledgments
I understand this is a charitable grant, not a loan or investment, and that CodeBoxx Foundation will not receive equity or repayment.
I am willing to participate in monthly mentor check-ins for a minimum of 6 months.
I am willing to submit progress reports at 90 days, 6 months, and 12 months as a condition of the award.
I understand selected applicants must complete a short pitch (5–10 minutes) to the review committee.
Optional: I grant CodeBoxx Foundation permission to use my story and business updates for fundraising and grant reporting purposes. Declining this does not affect my eligibility.
Signature
Applicant Signature
Date

MonthDayYear
Date
Should be Empty:

Student Venture Launchpad — Application

Applicant Information

Business Concept

Use of Funds & Plan

Community & Mission Fit

Acknowledgments

Signature