* Phone Number
Name of Business or Organization
How is your organization incorporated?
You don't have to be incorporated to be eligible for the program.
Describe the problem or gap your organization will address. What is the cause of this problem/gap and why does it persist?
What is the product, program, or service your organization will implement to address that problem/gap?
What is the value you are providing your potential customers or target population? How will their lives be better because of your organization?
How is your idea innovative or unique compared to other organizations?
Describe your conversations or engagements so far with your target population, potential customers, or potential partners. What have you learned from them?
How do you think you will financially grow and sustain the organization? Please describe any revenue streams, fundraising strategies, and/or strategic partnerships.
How did you come up with this idea? Why are you passionate about it?
Tell us about skills, experiences, or accomplishments that demonstrate you and your team’s ability to build this particular organization.
Tell us a story that demonstrates your leadership potential.
We strongly encourage teams. Please provide an overview of your team and what skills each member brings to the organization. If you are the only person on your team, please describe a plan for recruiting additional team members.
How many members of your team will be participating in the program?
(Optional) Please list each team member's gender, age, race/ethnicity, and/or home city/neighborhood.
The Collab Accelerator aims to be inclusive to all entrepreneurs. Please let us know if you have particular needs around any of the following areas.
Please check the box to confirm that you have reviewed the mandatory program dates and can make it to all 10 sessions including Pitch Day, or you have emailed firstname.lastname@example.org to discuss special circumstances.
I have reviewed the mandatory program dates
Thank you for applying to the Collab Incubator Program! We will be in touch shortly about next steps.
In the meantime, if you have any questions or concerns (or just want to meet with us!), email us at email@example.com.