Bind 4.0 Application - Industry 4.0 Startups Acceleration Program

1. MAIN CONTACT INFORMATION

1.1. Name*

First Last

1.2. Your role in the company*

1.3. Country*

1.4. Mobile Number (With Country Code)*

1.5. Email*

1.6. Skype ID*

1.7. Linkedin*

2. ABOUT THE TEAM

2.1. How many founders does your company have?*

Please enter a number greater than or equal to 0.

2.2. Please list each founder including name, position, and a short background*

Name	Position	Background

3. ABOUT YOUR STARTUP

3.1. What is your startup's name?*

3.2. Website

3.3. Define your Startup*

This description can be a tagline or your slogan (max. 150 characters).

3.4. Is your startup legally established?*

3.5. Year of incorporation*

3.6. Where are the headquarters of your startup?*

3.7. What is the overall team size of your startup (including founders)?*

Please don't include interns or student employees in this number.

3.8. Describe your product / service*

Please keep this description short but precise (max. 1500 characters).

3.9. What problem does it solve and how you do it?*

Describe exactly how and why your solution creates value for the customers. Furthermore, you can describe how your concept is innovative or unique.

3.10 What is the development stage of your solution?*

3.10.1. Please, describe the development stage of your solution.*

3.11. Who is your client?*

3.12. What is your current customer adoption? Do you already have customers? What are your key traction metrics (users/customers/revenue)?*

3.13 What about your gross sales?

3.13.1. Gross sales 2017

3.13.3. Gross sales 2018

3.13.3. Gross sales 2019 (expected)

3.14. Who are your competitors? What distinguishes you from them?*

3.15. What is the financing stage of your company?

3.15.1. Please, describe the financing stage of your company.*

3.16. How much money have you raised from external investors to date?*

External Investor	Amount (€)	Explanation

Express value in million € (for example: 1.5 M), only investments from institutions, VCs and/or accelerators.

4. ABOUT YOUR MOTIVATION TO BE PART OF BIND 4.0

4.1. Which of the team members could attend the Basque Country during the 6-months program from January 2019?*

Name	Position

4.2. What kind of support do you need to accelerate your business?*

4.3. What do you think about the possibility of establishing your company in Basque Country? What kind of support would be needed?*

5. ABOUT YOUR PROJECT PROPOSAL

5.1. Select the main area in which your solution is applicable*

Advanced Manufacturing
Smart Energy
Health Tech
Food Tech

5.2. Main technological field of the project

5.2.1 Please, specify here:*

5.3. What kind of project/s would you propose to the manufacturing, energy and healthcare partners?*

IMPORTANT! The partner companies are responsibles for the final selection of participating startups in BIND 4.0. Please describe the project in a concrete and specific way. The objective of this paragraph is that partner companies clearly understand your value proposition.

5.4. Expected results. What is the impact of your solution on the corporate?*

5.5. Are you interested in working with any partner especially? (Min. 0, Max. 3 companies)

6. ADDITIONAL INFORMATION

6.1. We'd love to meet you and see more about your startup in a VIDEO. Tell us what’s compelling about your company and how it will positively change industry.*

Please keep the video short and sweet at less than 2 minutes. Paste YouTube or Vimeo URL Link (ex. www.youtube.com/foo)

6.2. If you have a presentation about your company (ppt, pdf), please upload it here

(Max file size 100MB)

6.3. Please feel free to send us any other document that can help us understand why your startup should be part of BIND 4.0

Drop files here or

*

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