Veteran Entrepreneur Program - Cohort Application

Cohort Member Application
Founder and Company Profile
First Name*
Last Name*
Title*
Company Name*
Company Website*
www.example.com
Email Address*
example@gmail.com
Current Location*
City, State
Phone Number*

Area CodePhone Number
LinkedIn*
If you do not have a LinkedIn profile, type N/A.
Is the company at least 50% veteran owned?*

YesNo
Military Branch*
Years of Service*
Rank at Separation*
Founder's Bio*

Please attach a short bio that includes your educational background, your military background and how it might influence your business, relevant civilian work experience, awards/recognition, and any other information about your background and experience that might be helpful.
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Introduction Video *

Please upload a one-minute video introducing yourself and your business.
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Do you have a veteran co-founder?*

YesNo
Co-Founder First Name
Co-Founder Last Name
Co-Founder Email Address
example@gmail.com
Co-Founder Current Location
City, State
Co-Founder Phone Number

Area CodePhone Number

Company and Product Details
What year was your company founded? *
Are you working on your startup fulltime?*

YesNo
Primary Industry Sector*
Current Number of Employees*
Give a brief description of your company.*
What problem are you looking to solve?*
Why does your target audience need this product or service? Are there other options readily available on the market? If so, what makes your product/service stand out?
Describe your product/service. What does it do? What stage of development is it currently in?*
Please be as specific as possible.
Share any traction metrics you currently have. *
Number of customers, customer acquisition cost, customer lifetime value, month-over-month growth rate, and/or any key performance indicators (KPIs) specific to your industry. If none, type N/A.
Please list any tangible funding your company has received.*
If none, type N/A.
Do you have revenue?*

YesNo
Last 6 months Revenue:*
Forecasted 12 Months Revenue*
Forecasted 5 Year Outlook*
Current Monthly Burn Rate*
Current Runway*
List of Debts/Liabilities*
If none, type N/A.

Strategy
How do you (or will you) make money?*
How do you plan to scale the business?*
Who is your target market and customer base (TAM, SAM, SOM)? Please include market size and potential for growth. *
Who are your competitors or who might become your competitors?*
What is your competitive advantage?*
What are your short-term (next 12 months) company milestones?*
Describe your long-term (3-5 year) vision for the company?*
What are the top three biggest challenges you face as a startup?*
This helps us to connect you with industry experts. Please be as specific as possible.
Do you have any of the following intellectual property?*

Patents filed or grantedTrademarksOther proprietary technology or processesNone
If so, please describe.

Other Information
How will participation in the Veteran Entrepreneur Program accelerate your success? What are you hoping to gain from the process?*
What other incubators or accelerators, if any, have you participated in and completed (e.g. VEIP Master's Program, Y Combinator, TechStars, Patriot Bootcamp, Commit Foundation, etc.)?*
If none, type N/A.
How did you hear about the Veteran Entrepreneur Program?*
Executive Summary

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Most Recent DD214*

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Co-Founder Most Recent DD214

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Supplemental Materials

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Other Relevant Links
Product demo, pitch events, company YouTube, etc.
Additional Links

Acknowledgements
By submitting the information contained above, I confirm that the information submitted above is accurate and true to the best of my knowledge.

I confirm that I have the authority to act as a company founder or co-founder and that the company is at least 50% veteran owned.

If selected, I commit to attending the 3-day seminar for my designated cohort as well as the 6-week webinar and mentoring series that follows.

I acknowledge that, if selected, I will be required to sign a media release, and my company name and logo as well as the founder's (and co-founder's, if applicable) name and photo will be used to promote the Veteran Entrepreneur Program (the "Program") in print, on the Foundation's website, and on social media.

The PenFed Foundation Selection Committee will review all applications and respond to each application individually. Applications will be kept on file for one year. Please note that if you are not selected for the cohort for which you are applying, your application will be held under consideration for one calendar year. If not selected after one calendar year, you must resubmit an application if you wish you apply again.
I agree that the information herein are true and correct.*

Yes
I understand that my acceptance into the Program is subject to review of DD-214 for time in service and type of discharge.*

Yes
I acknowledge that as a participant in the Program, I agree to maintain the confidentiality of all proprietary information, business ideas, and intellectual property shared by fellow cohort members, and I will not disclose, use, or replicate such information without explicit written permission.*

Yes
I acknowledge and will adhere to the expectations of being selected as a cohort member of The PenFed Foundation Veteran Entrepreneur Program.*

Yes
Name*

First NameLast Name
Date*

MonthDayYear
Date
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