ACCELERATE@BABRAHAM APPLICATION FORM

Please provide non-confidential information for all areas of this form.

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* 1. Contact name and email address

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* 2. Start-up Name

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* 3. Number of team members

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* 4. Date Founded

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* 5. Location

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* 6. Company number (if applicable)

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* 7. Date of incorporation (if applicable)

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* 8. Company website (if applicable)

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* 9. Where does your start-up originate from? (university/ pharma/ large biotech/ other)

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* 10. What is your company sector focus?

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* 11. What is the purpose of your company and what problem are you solving?

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* 12. What do you consider to be your target customers and market?

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* 13. Who are your competitors?

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* 14. What are the benefits of your product or service (or both)?

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* 15. Do you have any patents to protect your technology and if so, who owns them?

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* 16. Briefly describe your start-up business model (approx. 250 words)

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* 17. What is your start-up financial and business plan forecast over the next 3 years? (Approx. 250 words)

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* 18. How much funding has your start-up received, if any?

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* 19. Funding already received from (if applicable)

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* 20. Do you have any source of income e.g. grants, turnover?

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* 21. Please share with us your non-confidential presentation (up to 5 slides)

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* 22. Please tell us a bit about the team including how long you have known your co-founders and management team and if you have worked with them before (approx. 100 words)

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* 23. What do you want to get out of the Accelerate@Babraham programme? Please consider the lab space, any teaching and the business mentor programme.

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* 24. Why should you win? (Approx. 250 words)

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* 25. Are you currently participating or have you applied to another accelerate programme? If so, which one?

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* 26. Is there anything else you would like to add about your start-up, technology, idea, team, funding? (Approx. 250 words)

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