Application form

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Application form Challenges

For which challenge(s) does your startup apply?

Application form Challenges

01Application form 41.0 Company information

Application form 1.0 Company information

1.1 What is your company name?

1.2 Company website url or company LinkedIn, if any:

1.3 If you have a demo, what’s the url? Demo can be anything that shows us how the product works. Usually that’s a video or screen recording. (Please don’t password protect it; just use an obscure url.)

Application form 1.0 Company information

1.4 Describe what your company does in 50 characters or less.

Application form 1.0 Company information

1.5 Is your company already incorporated? If so, what?

Application form 1.0 Company information

1.6 Is your company already incorporated? If so, in what construction?

Application form

1.7 Where is your company based?

1.0 Company information

2Application form 2.0 Contact

Application form

2.1 Email address of the founder who is filling out this application:

2.2 Phone number(s):

2.0 Contact

3Application form 3.0 Founders

Application form

3.1 How many founders are on the team?

3.2 Please provide short bios of all the founders and personal LinkedIn profiles if available

3.0 Founders

Application form

3.3 Do you have any other employees? Please describe their roles?

3.0 Founders

4Application form 3.0 Progress

Application form

4.1 How far has your business progressed (max 50 words)

4.0 Progress

Application form

4.2 How much time is spent on the start-up at this moment?

4.0 Progress

Application form

4.3 If you have already participated or committed to participate in an incubator, “accelerator” or “pre-accelerator” programme, please tell us about it. (which incubator when etc)

4.0 Progress

5Application form 5.0 Business plan

Application form

5.1 What is your business model? How will you make money? (max 200 words)

5.0 Business plan

Application form

5.2 Do you have customer?

5.0 Business plan

Application form

5.3 Who are you customer and what is the market potential? (max 200 words)

5.0 Business plan

Application form

5.4 Who are your competitors? What differentiates your company?

5.0 Business plan

Application form

5.5 What are your current KPI’s? (max 200 words)

5.0 Business plan

Application form

5.6 What is your sales plan for the coming years (what are you doing to sale - how will you achieve sales for the coming year not numbers but approach) (max 200)

5.0 Business plan

Application form

5.7 What is your technical roadmap for next years? (max 200)

5.0 Business plan

6Application form 5.0 Commintment

Application form

6.1 The programme will take 1 full day every week for six months. Who would participate and why?

6.0 Commitment

Application form

6.2 Are you part of communities and/or networks?

6.0 Commitment

Application form

6.3 On what subjects you need (intensive) help & support?

6.0 Commitment

Application form

6.4 Where did you find out of this programme?

6.0 Commitment

7Application form 7.0 Legal

Application form

7.1 Do you have patent(s) that are pending or other legal documents we should be aware of? Can you list them:

7.0 Legal

Application form

7.2 Does the startup fulfil all requirements of a startup as stated in the tender:

7.2 Legal

Read tender

In order to participate in this tender, the business must meet the following general suitability criteria:

- the business must consist of natural persons or a legal entity;

- if the business consists of a legal entity, the business must not have been registered with the Dutch Chamber of Commerce or a similar chamber in its own country for longer than six years;

- if the business consists of a legal entity, the business must have no more than 50 salaried employees;- the business must own an MVP/prototype/beta version of the Solution (where applicable);

- the business must not yet have paying customers for the product it provides as the Solution. The Participating Authorities intend to be the launching customer;

- the business must be able to align its features set with the market situation. We expect the business to be flexible and open to adjustments;

- the business must not be a startup that has originated from another business that has 250 salaried employees or more.

In order to become launching customer, the startup must provide a signed European Single Procure-ment Document (ESPD) - in Dutch we call this the Uniform Europees Aanbestedingsdocument (UEA). Unfortunately, you can only download the Dutch version of the European Single Procurement Docu-ment (ESPD). If you don’t understand Dutch, please download the English manual here.

Make sure you download (not just open) the UEA form in acrobat reader. Don’t forget to sign the PDF document! Download restrictions for the UEA form:The PDF can only be used with Acrobat Reader, preferably version 11.05. Only that way, the security and the extrusion functions that are included in the interactive pdf will work. You must save the document directly to your computer and not open it in your browser. After downloading, you can open the document via your computer with Acrobat Reader. If you open and fill in the PDF document directly via a web browser it may cause problems.

Thank you for filling in our Application Form and the UEA document. Please make sure that all information is complete.

Application form 7.2 Legal

UEA Document English Manual

Application form

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Please make sure to save the Application Form and the UEA Document.Click on the link below to upload your application

7.0 Legal

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