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1、SEED FORUM ENTREPRENEURS APPLICATION PACKAGE LAUNCHMEMPHISSEED FORUM 516 Tennessee Street, Suite 133 Memphis, TN 38103 Facsimile: (901) 507-4670 LAUNCHMEMPHIS SEED FORUM Entrepreneurs Application Package 516 Tennessee Street, Suite 133 Memphis, Tennessee 38103 901-292-7795 (Direct) 901-507.2238 (Fax
2、) ENTREPRENEURS APPLICATION PACKAGE SEED FORUM The following items are included in the Entrepreneurs Application Package for the LaunchMemphisSeed Forum (the “Forum”): 1. Contact / Information Sheet; 2. Entrepreneurs Application; 3. Terms and Conditions of the Forum to be acknowledged by the applica
3、nt; 4. Affirmation / Disclosures of Principals to be provided by all principals of the applicant; and Please send the above-referenced items along with the following optionaldocumentation for consideration of your participation in an up-coming event sponsored by the Forum: 5. Executive Summary prefe
4、rably no more than three (3) pages in length 6. Additional information relevant to the Applicant Note: The Forum reserves the right to request additional information during the application process, which may include a complete background check of all principals of applicant companies. Due to the nat
5、ure of our organization, the Forum cannot execute non-disclosure/confidentiality agreements. You should retain a copy of each document submitted to the Forum, as we will not return materials to applicants regardless of the result of their submission. LAUNCHMEMPHIS SEED FORUM Entrepreneurs Applicatio
6、n Package Applicants Name: _1 LAUNCHMEMPHISSEED FORUMCONTACT / INFORMATION SHEET Instructions: Please provide the following information in the space provided. Date of Application: Name of Company: Address/City/Zip: Telephone: Facsimile: Website Address: Year started (month if less than 24 months): N
7、umber of Employees: Industry:Business ServicesConsumer ProductsFinancial Services Energy Info. Technology (IT) Life Sciences (Biotech) Manufacturing Publishing Real Estate/Construct. Other: (Describe) Are you currently working with any of the following (please check all that apply)? Mercury Technolo
8、gy Labs EmergeMemphis Innova / Memphis BioWorks Foundation Financial Intermediary: Banker: Attorney: Accountant: Principals (all involved):* * For the purposes of this application any person owning or controlling (or who will own or control) a 20% or greater share of the company is deemed to be a pr
9、incipal; though this is not an exclusive test. Primary Contact (Title): E-Mail: As part of this application, I authorize LaunchMemphisSeed Forum (including its affiliates and representatives) to make inquiries as necessary to verify the accuracy of the statements made above. I hereby certify that th
10、e statements set forth above and, to the best of my knowledge, in the Entrepreneurs Application (including all documents attached thereto) to which this disclosure relates are true and accurate as of the stated dates. By:Date: Name: Title: LAUNCHMEMPHIS SEED FORUM Entrepreneurs Application Package A
11、pplicants Name: _2 LAUNCHMEMPHISSEED FORUM ENTREPRENEURS APPLICATION Instructions: Please review and respond to each question below. These questions are designed to assist in the selection process.In many cases, you may be able to cut/paste directly from your Business Plan. In other cases, however,
12、you may not have an answer. If you do not have an answer, please state in the blank provided, “No answer.” or “Not applicable.”This will be especially important for Pre-Seed Ventures that have not determined or cannot determine an answer given the stage of the startup. General Questions 1.What is yo
13、ur expectation from participating in the LaunchMemphis Seed Forum? 2.Have you taken any steps to create a business around your concept? If so, what steps? 3.Have you had any experience with institutional or 3rd party investors? If so, who? Please describe your experience. Business Specific Questions
14、 1.What is your companys Value Proposition? Please be a specific. 2.Describe the Target Market, how it was determined and what the value of the Market is: What is the Market Size for your product/service (in dollars)? Is your market growing? 3.Describe your technology and how it relates to your busi
15、ness: What rights do you have to those technologies (patents, exclusive license, etc.)? 4.Please list both your current and potentialCompetition. 5.What is your proposed Revenue Model LAUNCHMEMPHIS SEED FORUM Entrepreneurs Application Package Applicants Name: _3 6.What is your Marketing strategy? 7.
16、Besides money, what is holding back your business from moving forward? 8.How much money are you seeking for right now given the stage your business and how will that money be used? 9.Of the principles, who is fully employed in another capacity? 10.Are all the principles prepared to join this venture full-time should it be funded or is growing
