Your Startup Name (required):
Your First and Last Name:
Your Email (required):
Contact Number: (Please, follow the format +country area code - city area code - number. Ex: +1-555-555-5555 (US) Ex: +55-21-5555-5555 (Brazil Mobile).
How many partners are in the startup? (required)
When was the startup created? Please, follow the format (mm/dd/yyyy)
Is your startup women majority owned?
Has the startup ever received an investment?
If yes, how many investments?
If yes, what type of investment? (required)
Please choose the sub-sector the startup relates to: (required)
Artificial IntelligenceAdvanced Manufacturing and RoboticsAdtechAgtechCleantechConsumer ElectronicsCybersecurityEdtechFintechGamingHealth and Life SciencesOther
If, other please list:
Has the startup been or continues to be part of an incubator?
Has the startup participated in an accelerator program before?
If yes, please provide the URL of the program:
Describe the startup's product and its differentiator:
Does the startup have the funds to participate in the Cohort? (USD $120,000.00)
I need help with the remainder.
Please list the country citizenships you have:
Why should we choose this startup for our Cohort?
What do you hope to gain from joining our Cohort?
Why do you think your business will work in the US?
How proficient is your English?