COUNTDOWN TO THE NEXT CRUCIBLE

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WEDNESDAY - APRIL 22 2020

APPLICATION FOR THE CRUCIBLE

Below you’ll find the full application for The Crucible.

The form is designed to cover a lot of ground up front. Remember you’re not “pitching” at the event, its strictly a Q&A.

If you don’t have an answer to a question or it doesn’t quite fit your business model that’s fine. Please do your best to fill out as much as possible.

After you complete the form you’ll be taken to our payment page. There is a $100 application fee to participate in The Crucible. THAT FEE IS NON-REFUNDABLE REGARDLESS OF YOUR ACCEPTANCE TO THE CRUCIBLE OR NOT.

Application

Full Name *

Company or Idea Name *

Company Status *

Idea Phase

Operational (pre-customers)

Operational (with customers)

Spinoff

Other

Email *

Phone *

Website/URL

(if applicable)

Why do you want to participate in The Crucible? *

Whats your biggest fear coming into The Crucible? *

*Its new to everyone and if we can help ease a specific fear through a little insight on our end, we’re happy to help.

Your Expertise or Background *

Tell us about who you are and how you’ve come to work on this opportunity.

Your LinkedIn Profile URL *

Executive Summary of your company *

What major problem are you solving? *

Elevator Pitch *

Explain your business in 3 sentences or less.

Who is your biggest competition? *

*If you don’t have any competition please indicate so.

Business Setup

Sole Proprietor

Joint Venture

LLC/LLP

Undecided

Supporting Business Assets

Business Partners

Self Funded

Owned Assets (buildings, equipment, etc without a loan)

Pro-Bono Support (Ex: friend is an attorney waiving their fees)

*if any

Estimate for initial required investment *

Known “big ticket” items

Overview of supporting financial information *

Please list any information you may have about the expected financial requirements for your business.

Funding *

No Additional Capital Needed

Self Funding

Friends and Family

Seeking Venture Capital

Seeking Angel

State/Federal Grant

Pitch Contest Winnings

Private Investment

Commitment from (future) customers

Bank Loan

Other

Please Elaborate on your current funding model *

Who is your customer? *

What are your plans for customer acquisition? *

Discuss how you’ll bring your solution to market.

What are your biggest obsticles to new client acquisition and how are you going to handle them? *

List as many as you would like.

What are your deliverables for a customer? *

What is your pricing model? *

What is your profit margin?

Ballpark figures are acceptable

How many customers do you expect in year 1?

How many customers do you expect in year 2?

How many customers do you expect within 10 years?

How many customers do you need to remain viable?

Planned Technology Deployement

CRM System

Social Media

App (native or cloud based)

Cloud Computing

Data Science

Custom Code

Existing (off the shelf) coding

E-Commerce

Payment Processing

Team Members

President

CEO

CFO

COO

Accounting

CFO/Accountant (combined position)

Legal (external)

Sales

Marketing

Sales/Marketing (combined position)

Data Analyst

Data Scientist

Human Resources

Other TBD

Elaborate on your technology needs *

Elaborate on your staffing *

How do you plan on growing your business after the initial launch?

Is there a specific question you’re wanting to get answered at The Crucible?

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