Company Name
Company Website
One-Line Company Description
Professional Bio of Applicant (500 characters or less)
Who referred you to Springboard?
What value do you hope to gain from participating in Springboard? (500 characters or less)
Company Description (500 characters or less)
Therapeutic Area(s)/Sub-industry(ies)
What unmet need does your company address within women's health?
Date Company was Founded
List previous participation in Accelerators and Incubators
Who is on the key management team and what is their expertise relevant to the business?
List the number of full time employees
List the number of part-time employees
Board Members and Advisors
Lawyer (Optional)
Accountant (Optional)
Banker (Optional)
What is the Market you are addressing and how big is it? Size?
Who are your competitors?
What sets your product apart from the competition?
What is the incidence and prevalence of the disease your product treats/diagnoses?
List your Intellectual Property and how is it protected (including future strategy)?
Business Model: Please write N/A if any of these questions do not apply to your company. What is your business model? How do you make money?
Is your technology a substitute for a product that is already being reimbursed and used in established treatment/diagnosis protocols?
What is your partnering strategy, or how do you otherwise expect to take your solution to market?
Describe your regulatory pathway, and where you are now in that process
Milestones: Describe your recent company achievements and milestones.
What are the next milestones you need to achieve?
Equity Capital Raised to Date (in millions)
Grants/non-dilutive Capital Raised to Date (in millions)
Capital Seeking (in millions)
What round of capital are you seeking?
Current Investors
Pre-Money Valuation (in millions) (Optional)
Current Annual Revenue Run Rate (in thousands) (Optional)
Monthly Burn Rate (in thousands) (Optional)
What are you going to look like after you spend the money you are raising now? (Optional)
When do you anticipate an exit and who are the likely acquirers? If you do not anticipate an exit by acquisition, what is your exit strategy? (Optional)
What do you believe are the biggest risks to an investor considering an investment in your company? (Optional)
Those who apply must have significant decision-making authority and equity ownership relative to the rest of the management team. List the % Equity Ownership of the applicant and % Equity Ownership of the Management Team. (Optional)
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