MeTAP Pre-Startup Innovation Accelerator
Application Form
Company Name (if applicable)
Email
*
example@example.com
If you have registered your business with Companies House, please provide full details:
If you have
not yet
registered your business with Companies House, please continue to next page.
Companies House Number
Registered Company Address
Street Address
Street Address Line 2
City
County
Post Code
Back
Next
Do you plan to register a business anytime soon?
*
Yes, please provide address below of where you are looking to register the business
I do not yet have a planned address for the business
Planned address
Street Address
Street Address Line 2
City
County
Post Code
Provide an overview of your business and what it does
*
0/250
At what stage of the business cycle are you in?
*
Ideation Phase
Start-up Phase
Growth Phase
Scale Up Phase
I don't know
Provide an overview of the market sector, clinical problem and customers for your innovation
*
0/250
What are the key next steps in your development journey and barriers you need to overcome
*
0/250
In terms of funding, where does your business lie on the funding barometer?
*
Angel Investment
Boot Strapping
Grant Funding
Joint Venture
Crowdfunding
Pre-Seed Funding Round
Seed Funding Round
Series A
Series B
We are yet to secure funding
What are the challenges the business is currently facing?
*
Fundraising
Market Research
Idea Validation
Prototyping
Networking
Market-fit validation
Team Building
Product Development
Regulatory Compliances
Marketing & Sales
Scaling
Adaptability
Risk Management
How many full-time employees does your business have? (including founders)
*
1
2-4
5-9
10-19
20-49
50-99
What is your company’s annual revenue?
*
We are pre-revenue
Less than £50 000
£50 000-£100 000
£100 000-£150 000
£150 000-£200 000
£200 000-£250 000
More than £250 000
How many members do you have in the founding team?
*
Founder Details
Founder 1 - preferred gender/pronoun
*
Please Select
Female/She
Male/He
Other - please state below
If Other
*
First Name
Last Name
DOB
*
LinkedIn handle
Email
*
example@example.com
Founder 2 - preferred gender/pronoun
Please Select
Female/She
Male/He
Other - please state below
If Other
First Name
Last Name
DOB
LinkedIn handle
Email
example@example.com
Where did you hear about the MeTAP Innovation Accelerator?
Medilink Midlands marketing
Fellow Founder
Word of mouth
Organic web search
Nottingham City Council
Social Media
Other
Why have you applied? (what do you hope to achieve from this Accelerator programme).
*
Submit
Should be Empty: