Associated Bank Women's Accelerator App

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Apply to the Associated Bank Women's Accelerator Program

Thank you for your interest in the Associated Bank Women's Accelerator program by StartingBlock Madison. In order to learn more about you and your interest in this program we'd like you to complete this application. Once we receive your application, we will be in touch to discuss next steps.

First Name

Last Name

Phone

LinkedIn Profile

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Have you started a business before?

If yes, please briefly describe your business

The 12-week women's accelerator program will be held in-person. Are you able to commit to learning and participating in-person at StartingBlock Madison from November 11th to February 17th? (Holidays excluded)

Do you currently have a business idea?

If yes, briefly describe you business idea!

Describe where you are in the development of your product/service, (idea stage, working prototype/MVP, fully developed, somewhere in between, etc.)

Has your company applied to an SBIR/STTR grant? If yes, from what Federal Agency and what was the outcome of the application?

Describe the background, skills, and roles of you, the founder and/or founding team members

What is the one thing you are looking to get out of this program?

What other entrepreneurial resources have you utilized? (Check all that apply)

Capital Entrepreneurs

Doyenne

Center for Techology Commercialization

Forward BioLabs

gALPHA / gBETA / CS Nest

Small Business Development Center (SBDC)

Merlin Mentors

UW Law + Entrepreneurship Clinic

UW-Madison Discovery to Product (D2P)

WARF Upstart

WiSys Venture Home Network

WWBIC

Is there anything else you want to share as part of your application?

I'm interested in applying for

Thanks for applying! We will be in contact soon!

This form no longer accepts submissions.

StartingBlock Madison, Inc is a registered 501(c)3 organization.

608-467-4949

821 E Washington Ave
Suite 200 Madison, WI 53703

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