APPLICATION FORM Step 1 of 2 50% Name(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Cohort 4 Session Dates • Week 1 (January 14) • Week 2 (January 21) • Week 3 (January 28) • Week 4 (February 4) - Checkpoint #1 Hybrid in Columbia (in-person) • Week 5 (February 11) • Week 6 (February 18) • Week 7 (February 25) • Week 8 (March 4) - Checkpoint #2 Hybrid in Columbia (in-person) • Week 9 (March 11) • Week 10 (March 18) • Week 11 (March 25) • Week 11 (March 27) - Optional Pitch Practice • Week 12 (April 1) - Demo Day & Graduation (in-person) *All sessions are virtual with the exception of two (2) in-person sessions and Demo Day*At least one founder will attend all of the above sessions(Required)YesNoName of Undergraduate Institution90 SECOND ELEVATOR PITCH VIDEO(Required) Please provide an unlisted url to a youtube video with your 90 second elevator pitch.WHAT IS YOUR COMPANY NAME?(Required)WHAT IS YOUR COMPANY WEBSITE?(Required) ARE YOU HEADQUARTERED IN THE STATE OF SOUTH CAROLINA? IF YES, WHAT CITY?(Required)NOYESWHAT CITY?(Required) City WHAT IS YOUR LONG-TERM VISION FOR THE COMPANY?(Required)WHO ARE THE KEY TEAM MEMBERS, AND WHAT ARE THEIR ROLES?(Required) Add RemoveHOW MANY PEOPLE DO YOU EMPLOY?(Required)HOW MANY ARE BASED IN SOUTH CAROLINA?(Required)EXPLAIN YOUR CAPITAL RAISED TO DATE AND THE TERMS.(Required)HAVE YOU RAISED OUTSIDE CAPITAL? (ANGEL, VENTURE, EQUITY CROWDFUNDING, ETC.)(Required)NOYESIn what areas do you feel you need assistance?(Required) Market Research & Development Sales & Customer Acquisition Leadership Development & Team Construction Storytelling KPIs & Measuring Growth Fundraising Advisory Board & Social Capital Other Assistance Needed(Required)WHAT IS YOUR MOST SIGNIFICANT NEED? AND HOW DO YOU FEEL THIS PROGRAM WILL HELP YOU?(Required) DIVERSITY QUESTIONNAIREDOES YOUR STARTUP HAVE FOUNDERS OR C-SUITE MEMBERS THAT WOULD BE CONSIDERED DIVERSE (WOMEN, PEOPLE OF COLOR, DISABLED, VETERAN, LGBTQ, ETC.)?(Required)NOYESWHO ON YOUR CORE TEAM (FOUNDER, CEO, CTO OR SIMILAR) IS ABLE TO COMMIT TO PARTICIPATING IN 100% OF THE REQUIRED MODULES (12-SESSIONS VIRTUAL AND AN IN PERSON DEMO DAY)? WHO MAY PARTICIPATE PART-TIME?(Required)IF ANY, WHO ARE YOUR CURRENT PAYING CUSTOMERS?(Required)PLEASE SHARE ANY LINKS TO DOCUMENTS YOU WOULD LIKE TO SHARE AS PART OF YOUR APPLICATION.(Required)WHO ARE YOUR MAIN COMPETITORS?(Required)WHAT IS YOUR MONTHLY BURN AND HOW MUCH RUNWAY DO YOU HAVE?(Required)WHAT IS THE PROBLEM THAT YOU SOLVE?(Required)EXPLAIN WHY YOUR TEAM IS UNIQUELY QUALIFIED TO SOLVE THIS PROBLEM.(Required)DO YOU PLAN TO RAISE ADDITIONAL CAPITAL?(Required)NOYESDESCRIBE YOUR IDEAL CUSTOMER.(Required)WHAT IS YOUR PRODUCT VISION AND KEY MILESTONES FOR THE NEXT 24 MONTHS?(Required)WHAT IS YOUR CURRENT TECH STACK?(Required)WOULD YOU LIKE TO SHARE ANY PRESS/MEDIA?(Required)NOYESUPLOAD FILE(S) HERE(Required)Max. file size: 200 MB.HOW DO YOU GENERATE REVENUE?(Required)IS THERE ANYTHING ELSE YOU'D LIKE TO TELL US OR SHARE?(Required)NOYESPLEASE SHARE HERE.(Required)PLEASE PROVIDE A URL TO A PRODUCT DEMO OR PROTOTYPE, IF AVAILABLE.(Required) PhoneThis field is for validation purposes and should be left unchanged.
