Unventure Capital
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Company
*
Company's website
Name
*
First
Last
Your LinkedIn Profile
Email
*
Phone
Provide a brief description of your company
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What industry/field do you consider yourself in?
*
Where are you located?
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How long have you been in business?
Less than 3 months
4 months to 1 year
2 to 3 years
4 or more years
What stage are you?
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Ideation
Proof of concept
MVP
Customer pilots
Commercial operation
Selling and paying customers
How many employees? (for real, FTE equivants)
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— Select Choice —
Just me
2 to 5
6 to 12
13 or more
What is your corporate structure?
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C-corp
S-corp
LLC
other
a revenue you
Why did you choose this corporate structure?
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{e.g. recommended by lawyer, tax advantages, easiest, etc.}
Have you been awarded any non-dilutive grants?
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No
Yes
Have you raised any capital (other than non-dilutive grants)?
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None
Founders bootstrapping only
Friends and Family only
Angels and VCs
Other
If you have taken any outside capital (including friends and family), specify the amount:
How much capital will you require to reach profitability?
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{enter “unknown” if detailed analysis hasn’t been done}
Do you have legit, paying customers? I.E. are you generating revenue (not including grants)?
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Yes
No
tough to say
prefer not to answer
If "Yes" to paying customers, please specify TTM revenue:
Are you profitable?
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Yes
No
tough to say
prefer not to answer
Are you prepared to take on a co-founder?
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Yes
No
tough to say
What gaps can we fill other than providing capital?
Any other information you want to provide?
{If everything else doesn’t tell a compelling enough story for us to get back to you, what else would you want to tell us …}
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