Application for PATHFINDER ENTRY: Find Your Business on the Pre-Seed program

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

If you are applying as a team of Pathfinders, only one form needs to be completed per team - you do not need to complete one form each.

Need a reminder about the application deadline? Follow us on Twitter (https://twitter.com/BaseImpact) or Facebook (https://www.facebook.com/ImpactBaseIncubator) to get reminders

TIP: the best answers are those that (1) do not use jargon, (2) actually answer the question, and (3) are detailed, this is not a competition to see how few words you write - make sure you explain your answers to us. Good luck!

What is your full name? (first name, last name) *

What is your email address? *

What is your phone number? (sample: 07911 123456) *

What city do you live in? *

What is your sex? This is an optional question and the responses will not influence selection. You may skip it if you prefer not to respond.

Female

Male

Prefer not to say

Other:

Clear selection

What is your age in years? This is an optional question and the responses will not influence selection. You may skip it if you prefer not to respond.

Are you applying with a team? *

Yes

If yes, what are their names?

If yes, what cities do they live in?

If yes, what are each of their email addresses and contact phone numbers?

If applicable, how long have you known your team members?

Tell us something about one industry that you understand, that many companies operating in it probably do not. *

What are the top three critical characteristics that you (and your team, if applicable) possess to build a successful business? *

Why do you [and each of your team, if applicable] want to start a business? *

What are some of the hardest things you individually [and your individual team members, if applicable] have ever done? *

What industries are you (and your team members, if applicable) passionate about and why? *

If you had unlimited time and resources, what would you [and your team, if applicable] build? *

Tell us about any business ideas you [or your team, if applicable] have, or have previously had. *

Have you [or any of your team, if applicable] ever started a business before? If so, what happened? *

What do you most want from the ImpactBase Pre-Seed Program? *

Do you or any of your team belong to any of the following groups (check all that apply): *

Individuals from a diverse racial and ethnic group that is underrepresented in entrepreneurship in the UK.

Individuals with physical or mental impairment that substantially limits one or more major life activities.

Individuals who come from a family with annual income below established low-income thresholds in the UK

Individuals who will be the first child in their family to graduate from a university or college

Other disadvantaged group

Required

If you belong to any of the above groups or another disadvantaged group that is not covered above, please explain your particular situation.

Are you and any team available to attend ImpactBase every weekday (except public holidays) between April 6th and 17th 2020? *

Yes

Maybe / not sure

Is there anything else we should know or take into account? *

How did you hear about ImpactBase? *

Confirm you [and all of your team if their details are listed above] agree to our privacy policy http://impact-incubator.com/privacy *

Agree

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Seefar. Report Abuse

Forms