LiftHER Applicant Form

1
Applicant's Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Country Code
Phone Number
3
Email* This field is required.
example@example.com
4
Company* This field is required.
5
Applicant's Position* This field is required.
6
Applicant's LinkedIn Profile* This field is required.
7
How did you hear about the LiftHER Female Founders Grant Challenge?* This field is required.
eNewsletter
Instagram
Facebook
LinkedIn
Word of Mouth
Google Search
Other
8
Business Name* This field is required.
9
Business Website* This field is required.If you don't have one, please type 'NA'
10
When was your business established?* This field is required.
Date
Year
Month
Day
11
Country of business registration* This field is required.This program only accepts applications from the Asia-Pacific region
Australia
Indonesia
Vietnam
Philippines
Hong Kong
New Zealand
Malaysia
Thailand
Singapore
Other
12
Business registration number(s) in your country:* This field is required.Once shortlisted, you will be required to provide proof of company registration
13
Business Instagram Profile
14
Business TikTok Profile
15
Business Facebook Profile
16
Business LinkedIn Profile
17
How many total followers does your company have across all social media channels?* This field is required.You can include the followers from your personal social media channels.
Less than 1,000
1,001 - 5,000
5,001 - 10,000
10,001 - 15,000
15,001 - 20,000
20,001 - 30,000
30,001 - 50,000
50,001 - 100,000
100,001 - 150,000
150,001 - 200,000
More than 200,001
Don't have any social media presence
18
Which award category would you like to enter?* This field is required.You may enter more than one category; however, you will only be selected for one
Sustainable Future
Innovation and Social Impact
eCommerce Excellence
19
Which United Nations Sustainable Development Goals (UN SDGs) is your business addressing?* This field is required.You may select more than one
1. No Poverty
2. Zero Hunger
3. Good Health & Well Being
4. Quality Education
5. Gender Equality
6. Clean Water & Sanitation
7. Affordable & Clean Energy
8. Decent Work & Economic Growth
9. Industry, Innovation & Infrastructure
10. Reduced Inequalities
11. Sustainable Cities & Communities
12. Responsible Consumption & Production
13. Climate Action
14. Life Below Water
15. Life On Land
16. Peace, Justice & Strong Institutions
17. Partnerships For The Goals
20
Briefly describe your business (max 150 words):* This field is required.
0/150
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Large
Normal
Small
Ok
Ok
21
What inspired you to start your business? (max 150 words)* This field is required.
0/150
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Large
Normal
Small
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Ok
22
What is your vision for your business in the next 5 years? (Max 150 words)* This field is required.
0/150
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Large
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Small
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Ok
23
What are the top three challenges that you've faced while starting your business?* This field is required.
Funding/ Working Capital
Brand Building and Marketing
Customer Acquistion
Talent Recruitment
Product Development
Technology Applications and Know-how
Community and Support Network
Mentors and Advisors
Mental Health
Work-Life Balance
Other
24
What motivates you to participate in LiftHER?* This field is required.You may select more than one
Funding
Community Support
Crowdfunding Coaching
Mentorship
Ongoing Fellowship
International Network
International Exposure
All of the above
Other
25
What can the LiftHER program and funding help you? (Max 150 words)* This field is required.
0/150
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Large
Normal
Small
Ok
Ok
26
Has your business started generating revenue yet? If yes, what is the annual revenue range in Australian Dollars?* This field is required.Once shortlisted, we may require proof of revenue.
Pre-revenue
Below $50,000
$50,001 - $100,000
$100,001 - $200,000k
$200,001 - $300,000
$300,001 - $400,000
$400,001 - $500,000
$500,001 - $1,000,000
$1,000,001 - $2,000,000
27
Have you previously raised any capital for your business? If yes, how much have you raised in Australian Dollars?* This field is required.
Never raised any capital
Less than $200,000
$200,001 - $500,000
$500,001 - $1,000,000
$1,000,001 - $2,000,000
28
Have you previously received any grants for your business? If yes, how much have you received in Australian Dollars?* This field is required.
Never received any grants
Less than $200,000
$200,001 - $500,000
$500,001 - $1,000,000
$1,000,001 - $2,000,000
29
Would you be available to travel to Melbourne for the Pitch Event in April 2025, if selected?* This field is required.
YESNO
30
Have you tried crowdfunding before?* This field is required.
YESNO
31
How comfortable are you with your English communications?* This field is required.
Very Comfortable
Comfortable
Somewhat Comfortable
Not Comfortable
Prefer Not To Say
32
Please share with us a video introducing yourself and your business (Optional) (Max 90 seconds)
Drag and drop files here
Select files to upload
Cancelof
33
Please share with us any pitch deck or business plan proposal (Optional)
Drag and drop files here
Select files to upload
Cancelof
34

Thank you for completing the LiftHER Female Founders Grant Challenge Application! We deeply value your commitment to creating meaningful change and driving innovative solutions.

What's next?

Please click "SUBMIT" to complete the application, and expect a virtual interview invitation for the top 20 shortlisted applicants by mid January 2025. Top 9 Finalists will be announced in late January 2025, and our program kicks off in early February. We look forward to getting to know you, supporting your enterpreneurial journey and making positive impact together!

For more information, please visit lifther.liftwomen.com

- Special thanks-

APAC Program Sponsor: AsiaPay Capital

Program Partners: Scale Investors | Raise The Crowd
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