Title I Salutation*
Primary Contact Name*
Contact Address*
Start-up name*
Description in 140 Characters – express your core value*
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1. Where is your team currently located?
2. How you would like to participate?
3. Please select one of the following focus themes that best suits your application
4. Which specific problem are you working to solve?
5. What is the development stage of your start-up?
6. Which technology is key to your solution?
7. Which experience does your team have in this technology?
8. Do you hold patents/intellectual property for this technology?
9. Which of our Circular Valley partner companies or institutions are you most interested in?
10. Are there any additional companies/industries of high interest to you?
11. Who do you think will be your primary customer?
12. How have you already reached or do you plan to reach your customer?
13. Please describe your team’s ability to attract customers, audience etc. (skills, education, roles, …)
14. Have you taken an outside investment already and, if so, from whom?
15. How did you hear about us?
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