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Accelerator - GIGTANK

CO.LAB Accelerator // Application

1. First Name *This question is required.

2. Last Name *This question is required.

3. Phone # *This question is required.

4. Primary Email *This question is required.

5. Company Address *This question is required.

	Line 1
	Line 2 (Apt., suite, etc.)
	City
	State
	Zipcode

6. County of residence: *This question is required.

7. Gender *This question is required.

Please enter an 'other' value for this selection.

9. Are you a veteran? *This question is required.

10. Name of Company *This question is required.

11. Your Role/Position *This question is required.

12. Business website (if applicable)

13. Twitter Handle (if applicable)

14. Facebook URL

15. Describe your company. What is the problem you are solving and why is it important? *This question is required.

16.

Describe your business model. How do you make or plan to make money?

*This question is required.

What is the next milestone your company needs to reach? *This question is required.

17. From what sources has your company received funding? Select all that apply. *This question is required.

18. Please provide the names, skills and experience that make up your startup team? (include your own) *This question is required.

19. If you are accepted into the program, will you be in need of housing for the duration of the accelerator?
Some housing may be available. *This question is required.

How did you hear about the CO.LAB Accelerator? *This question is required.