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Hispanic Technology Incubator Application
First Name
Last Name
Email
Phone
If you have a website or demo/prototype, please provide the URL
Company Name
What is your role in the company?
Are you currently an 1871 member?
Yes
No
Are you currently a member of the Illinois Hispanic Chamber of Commerce?
Yes
No
What stage is your company?
Select An Answer
Idea
Building Product
Alpha / Beta Version Complete
Have Users / Pre-Revenue
Have Customers / Post-Revenue
What problems are you solving? What is your solution?
How big is the problem? What's unique about your solution?
Tell us about technologies used to build your business.
Tell us about your customers/users in more detail.
Who makes the purchasing decision? How do you know people need what you're building?
What's your revenue model?
Advertising
Data
Subscription
Commerce
License
Transaction Processing
Not sure yet
Other
Why are you the right team to bring this product to life?
Any relevant domain expertise?
Please describe your business in 5 sentences or less.
What is your go-to market strategy?
What are the most relevant metrics to measure your business?
What is the total amount of cash invested in your company to date?
Are you currently raising?
Yes
No
How long have you been working on the company?
Please describe any other members of your team, including their name and roles
Tell us why you wish to join the IHCC/1871 Incubator.
How does your business make the world a better place?
How did you hear about IHCC/1871 Incubator?
IHCC Member
1871 Team Member
Law, Accounting or Other Service Firm
Google / Internet Search
Investor
Press/Media
Conference / Event
Social Media
Other:
If you were referred by a specific person or company connected to IHCC or 1871, please list his or her name.
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