Join 1871

HELP US GET TO KNOW YOUR COMPANY

Company Name (if applicable)

Please provide a link to your website or portfolio (if applicable)

When did you start the company/product? (MM/YYYY)

How would you describe your current entrepreneurial stage? Explore: I am a founder who is passionate about a business idea and want to test it
Build: I am a founder who has demonstrated some early market validation with a scrappy prototype
Launch: I am a founder who has identified early indicators of product/market fit and am ready to test growth strategies and the business model
Grow: I am a founder who has proven the business model works and the market is there and am ready to scale the team and the company

What industry best describes your market?FinTech, financial services
HRTech, Human Capital, Future of Work
EdTech
HealthCare, MedTech, Pharma, Wellness
RealEstate Tech
Business Products & Services (industry agnostic)
FoodTech, Food & Bev Products
SmartCities & Government Services & Construction
Logistics, Supply Chain, Transportation, Mobility
InsureTech
E-Commerce, Brand, RetailTech (including fashion, interior design, etc)
Travel, Luxury, Hospitality
Energy & Sustainability
Cybersecurity
Materials
Social Media & Consumer Apps
AdTech, PR, Digital Marketing Solutions, Media
Sports & Entertainment
Social Impact Select all that apply

Is your company/product/solution solving any of the following COVID-19 related challenges?Reducing physical interactions between clinicians and patients within healthcare facilities
Ensuring people can access high-quality physical and behavioral care outside of healthcare facilities
Ensuring hospitals and essential workers have the necessary supplies and equipment
Accelerating the development of therapeutics and vaccines
Expanding testing capabilities
Aggregating and harnessing data to improve decision-making
Supporting high-risk and vulnerable communities
Ensuring the availability of innovative solutions that help people thrive in a more virtual world
Accelerating a physically and psychologically safe work environment
My company/product/solution is not solving for any COVID-19 related challenges Select all that apply.

Please provide a 3-5 sentence description of your solution or idea

Who is your customer and what problem do you solve for them?

How have you validated this problem so far?

What is your unique insight, approach, or advantage and why is your solution or customer acquisition strategy superior to your competitors?

Describe how you currently or plan to earn revenue?

How much revenue do you earn per month? (Confidential)Pre-revenue
$0-$999/month
$1000-$9999/month
$10,000-$49,999/month
$50,000 or more /month

Have you raised funding?Yes
No
Not Applicable

If you have raised funding, how much have you raised? (Confidential)

Funding TypeSelf-funded/Bootstrapped
Family and Friends
Angel Investors
Venture Capital
Awards/Grants
Other
None of the above Select all that apply

Number of full-time employeesJust me!
1 - 2
3 - 5
5+

Are you planning on providing any additional team members with an 1871 membership? (if applicable) Yes
No, it's just me!

HELP US GET TO KNOW YOU

First Name

Last Name

Email

What is your date of birth? Please provide your answer in the MM/DD/YYYY format.

Current zipcode

Please provide your LinkedIn URL

Are you the founder?Yes, I'm a solo founder
Yes, I'm a co-founder
No, I'm a corporate member/partner
No

What is your title?

How did you hear about 1871?I am a member of a partner organization (see list of partners in the next question)
I’ve attended an event at 1871
1871 reached out to me
I’m a former 1871 member
I was recruited by a partner organization (see list of partners in the next question)
Referral from a member or mentor
Google
Blog
Instagram
Twitter
LinkedIn
Facebook
Other ** Select all that apply **

Are you a member of or were you recruited by any of these 1871 partners?Back of the Yards Neighborhood Council
Bronzeville Incubator (Urban Juncture)
Economic Strategies Development Corp (18th Street)
Englewood Accelerator (GECDC)
Illinois Hispanic Chamber of Commerce
MATTER
mHub
Onward House
Polsky Center for Entrepreneurship and Innovation
TechBridge
The Chicago Connectory
University CoWork
West Ridge Chamber of Commerce
West Side Forward (Bethel New Life)
None of the above ** Select all that apply **

Are you a current student, faculty member or alumni of any of the following university institutions?DePaul University
Illinois Technical Institute (IIT)
Loyola University Chicago
Northwestern University
The University of Chicago
Trinity Christian College
University of Illinois Urbana Champaign (UIUC)
University of Illinois at Chicago (UIC)
University of Illinois Springfield (UIS)
None of the above ** Select all that apply **

CHOOSE YOUR EXPERIENCE

What type of access do you want to 1871? Virtual Membership (Online only access to 1871 resources)
Shared Membership (Full-time 24/7 access to communal space)
Reserved Membership (Full-time 24/7 access to a dedicated desk and communal space)

1871 has diversity scholarships available to dedicated founders in need of financial assistance. If you are interested in this support please opt in below.Yes
No ** This option is intended to support founders of color, female founders and founders with visible and invisible disabilities **

PYROS is 1871’s core curriculum available to all 1871 members and designed for all stages of startup development. PYROS is intended to be FULLY immersive, including: workshops, peer-peer working sessions, mentor 1:1s, and interactive experiences,

Please indicate your desired level of PYROS participation I want to be fully immersed
I want access to workshops only

1871’s affinity programs are included in your membership and provide specialized content and opportunities for underrepresented founders. If you opt in below an 1871 representative will follow up with you shortly to determine your eligibility.

Are you interested in participating in any of the following affinity programs?WiSTEM: For female-identifying founders whose company is past the ideation stage (i.e. PYROS Build Stage or above)
LatinX Incubator Program: For LatinX identifying founders with a company at any stage of development
BLK•Tech: For Black founders whose company is at the ideation or build stage (i.e. PYROS Explore or Build)
I am interested in access to PYROS programming only and not joining an affinity program You must meet the necessary qualifications to participate

HELP US HELP YOU

Have you attended an 1871 membership 1:1 with a representative of the Member Experience Team?Yes
No

What are your biggest hurdles right now?Validating my idea
Understanding the steps necessary to build a startup
Developing the product/tech support
Access to mentors
Understanding the market
Developing a launch or marketing strategy
Finding capital and/or investors
Defining or refining the business and revenue model
Hire additional team members or finding co-founders
Build a personal network and connect with other entrepreneurs
Access to customers or strategic partners
Office space to collaborate or get work done
Other

Help us better understand what you selected above. What biggest hurdle(s) keep you up at night? Where do you think 1871 can add the most value?