Groundwork Labs | Startup Accelerator Application Durham, NC - Groundwork Labs

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Groundwork Labs continually accepts and reviews applications. If you have questions about the application, please email info@groundworklabs.com.

*If you are currently applying for an NC IDEA grant, you do not need to complete this application, but can just check the "I'm interested in Groundwork Labs" box on the NC IDEA application.

General Information

Company Name *

Primary Contact:

First Name *

Last Name *

Title *

Address

Address *

City *

State *

Zip *

Phone Number *

Alternate Phone Number

Email *

Website

Referral Source: How did you hear about Groundwork Labs? Please select all that apply. *

Referral Source Detail: If other, please specify.

Company Information

Incorporation: Has your company been incorporated? (This will neither help nor hurt your application.) *

Incorporation Year: If yes, what year?

Company Type: How can your company best be described? *

Industry: How can your company's product or service best be described? *

Companies mainly operating in the biotechnology and pharmaceutical industries are considered out of scope and NOT eligible for Groundwork Labs.

Industry: If other, please specify.

Why do you want to become a part of Groundwork Labs? (max chars. 500) * max chars. 500

What will you do while in Groundwork Labs? What is the missing piece you are seeking to complete while in Groundwork Labs? (max chars. 500) * max chars. 500

Funding

Please indicate all dollars received to-date from each funding source listed below. Please do not use decimals or commas. If no funding has been received, please enter 0. (i.e. 50000 not 50,000.00)

Institutional VC *$

Angel Investors *$

Friends & Family *$

Founders *$

Grants *$

Loans *$

TOTAL Funding:$

Idea

Description: In one or two sentences, describe your business. Assume that the reader may not be an expert in the field and be concise, clear and articulate. (max chars. 300) * max chars. 300

Problem: What problem(s) does your company solve? Why is it a problem? Who is affected by this problem? How large is the problem? How is the problem being dealt with today? What motivated you to try to solve this problem? Be specific. *

Solution: How does your company's product work? How does your product solve the problem? Does your solution completely eliminate the problem or does it solve it partially? What is new, interesting or different about your solution? *

Video Description

Video Description: If you have a video that describes your business (less than 3 minutes long), provide the URL here. Production value is not important to us - it can be quick and dirty. Please provide username and password below if necessary.

Video Username:

Video Password:

Website/Demo

Website/Demo: If you have a website or demo/prototype, what is the URL? Please provide username and password below if necessary.

Website/Demo Username:

Website/Demo Password:

Market and Business

Market Explanation: Briefly describe your company's market. How big is it? Is it growing? (max chars. 500) * max chars. 500

Competition: Who is also trying to solve the same problem as your company? List your competitors and alternate solutions and include key differentiators of your product. Include those URLs if appropriate. *

Revenue: How will your company make money? *

Team

Founding Team: Provide a short bio for each founder. Emphasize characteristics or backgrounds that qualify each individual to fill their respective role. Be specific and list companies where individuals gained their experience. *

Advisors: List any individuals (and their organizations, if applicable) considered important business and technical advisors, and who are actively engaged with the company (max chars. 400) * max chars. 400

Feedback and Comments - *NOT PART OF APPLICATION*

Groundwork Labs would appreciate any feedback you have regarding the application process and/or the application form itself. We are always looking for ways to make improvements and thank you in advance for your comments. **The comments in this section will not be reviewed prior to selecting the participants and will in no way affect or influence the decisions of Groundwork Labs.**

PLEASE NOTE:
Once you select SUMBIT below, you will be directed to an additional screen where you then must select CONFIRM in order for your application to be successfully submitted to Groundwork Labs. Once you have selected CONFIRM, you will receive a successful submission notification on the screen and via email. If you do not see these, then your application has not been received.

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