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Startup Ecosystem Intake Form
Fill in the form below to get resources matching your specific needs on the startup journey
About Your Startup
1- What stage is your startup in?
Required
Select a choice
I have an idea - how do I get started?
I am actively building my startup and looking for resources/funding
2- What kind of startup are you building?
Required
Select a choice
Financial (FinTech)
Consumer Goods/Retail
Life Sciences/Biotech
GovTech
Software
Other
3- Who are your primary customers?
Required
Select a choice
Multiple Types
Consumers
Government
Other businesses
4- Do you have paying customers?
Required
Select a choice
Yes
No
About You
5- Are you currently enrolled in school?
Required
Select a choice
Yes
No
6- What is your gender identity?
Required
Select a choice
Female
Male
Gender-Queer/Non-Binary
Transgender
Other
7- Do you consider yourself a person with a disability?
Required
Select a choice
Yes
No
8- What is your sexual orientation?
Required
Select a choice
Gay/Lesbian
straight
bisexual
pansexual
queer
Other
9- What is your race?
Required
Select a choice
White
black or African American,
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander,
Other
10- What is your ethnicity?
Required
Select a choice
Latinx
Not Latinx
Other
If you would like us to send your results in an email, please provide it below:
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