JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
The Bridge Accelerator - Application
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name
*
Full name of the person filling in the application
Your answer
Email
*
Your answer
Phone number
*
Your answer
Please tell us how you heard about The Bridge Accelerator.
Your answer
Check the items below to acknowledge that you have read each statement.
Thanks to the generous support of program sponsors, my company will receive an 85% discount from the real cost of the program. My company agrees to pay $2,500 (US dollars) for up to 3 participants to join the 12 program sessions.
The majority of sessions will be held in English.
The Bridge Accelerator requires that 1-3 members of my company attend program sessions on Tuesdays from 2pm-6pm, and on Wednesdays from 8am-2pm. The total weekly commitment for The Bridge Accelerator is 12-16 hours.
Program sessions will be held at the Technology HUB in Juarez and The Hub of Human Innovation in El Paso.
Participants from my company have the required documents to cross the border in both directions.
COMPANY INFORMATION
Company Name
*
Your answer
Company Address
*
Your answer
If your company has presence on the internet, please provide your web address and social media handles (not required).
*
Your answer
Please describe your business in 140 characters or less.
*
Your answer
If you know the 4-6 digit NAICS code(s) associated with the line of business of your company, please write it here. In Mexico this is commonly known as the "código SCIAN de 4-6 dígitos."
Your answer
Have you been in business more than two years?
*
Yes
No
Is your company formally incorporated as a business?
*
Yes
No
In which country (or countries) is your company incorporated?
*
You will be required to submit supporting documentation later on.
United States
Mexico
N/A
Required
How many employees does your company have in El Paso and/or Ciudad Juárez?
*
0 - 5
5 - 10
10 - 20
20 - 50
More than 50
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report