Growth Fund Application Form

Name *

First

Last

Email address *

Its important that this form is filled out by founder or co-founder of the company.

Company name *

Company website *

If you have a demo, what's the url? For non-live demos, please attach a videoURL.

Describe your company in 2 - 3 sentences. *

Where do you live now? *

(List as City, State, Country - for example: Miami, FL, USA)

How long have you been working on this business? *

Do you have revenue? *

What was your revenue in the last full calendar month? *

(Please use USD. If none, enter '0')

What was your revenue in the last quarter? *

What was your revenue in the last 12 months? *

Anything else you would like us to know regarding your revenue or growth rate?

Why did you pick this idea to work on? Do you have domain expertise in this area? *

What's unique about what your product / business? *

Who are your competitors, and who might become competitors? Who do you fear most? *

What do you understand about your business that other companies in the industry just don't get? *

Have you incorporated, or formed any legal entity (like a LLC)? *

What kind of entity and in what state or country was the entity formed? *

For example: Delaware C Corp or Nevada LLC

Please describe the breakdown of the equity ownership in percentages among the founders, employees and any other stockholders. *

Is there anything else we should know about your company?

(Pending lawsuits, co-founders who have left, etc.)

What convinced you to apply to Syed's Growth Fund?