Venture Capital Application Founder or Founders Name(s) & Titles * Email * Phone (###) ### #### Company Name * Sector Focus * Stage * Pre-Seed Seed Series A Series B Series C+ Primary Operating Markets * Address Address 1 Address 2 City State/Province Zip/Postal Code Country One-Line Company Description * Problem Statement * Solution & Competitive Advantage * Total Addressable Market * $10M - $100M $100M - $1B $1B - $10B $10B - $100B $100B + Other Current Revenue Status * Funding Amount Sought * Previous Funding Raised * Funding Timeline * Actively Raising Now Planning to Raise in 1 month Planning to Raise in 2 months Planning to Raise in 3 months + Exploring Options Use of Funds * Pitch Deck URL http:// Product/Demo Website http:// Additional Information Thank you!