Get your Startup Started with Rev1 Ventures

UPDATE THIS!!! Program ID

Your Personal Info

First Name

Last Name

Phone

Your Role Title

Startup Details

1. Company Name (or concept name)

2. Street Address

City

State

ZIP Code

Ohio County

3. Website (if applicable)

4. Which of the following best describes your startup:

Tech-based startup: startup that brings new or innovative technologies to the market in industries such as IT, life sciences, advanced materials/manufacturing, energy, and more. Through product design and/or business model, it is intended to scale quickly and potentially raise venture capital to do so.Non-tech startup: privately owned corporation, partnership, or sole-proprietorship that is a self-sustaining enterprise with no proprietary technology involved. Often considered a "lifestyle" business.

5. Industry

6. Are you or your company affiliated with any of the following Innovation Partners of Rev1 Ventures?

No AffiliationBattelleFederal LabsNationwide Children's HospitalOhioHealthOhio State UniversityThis would include any formal partnerships, being currently employed or studying at one of the institutions, or licensing agreements for your intellectual property, This would not include graduating from the university or former employment.

6a. Which best describes your affiliation with Ohio State?

Faculty/StaffGrad or Post-Grad StudentUndergrad StudentBusiness Lead (only affiliated with Intellectual Property)

6b. Which best describes any Intellectual Property (IP) relationship you may have or be pursuing with Ohio State?

Not pursuing/licensing OSU IPPursuing/option to license OSU IPCurrently licensing OSU IP

7. How is the company organized?

UnincorporatedLLCC-CorporationS-CorporationPartnershipSole Proprietorship

8. In what year did you begin working on this idea?

9. Which business model best describes how your company operates? (select one)

Business to Business (B2B)Business to Business to Consumer (B2B2C)Business to Consumer (B2C)

9a. B2C companies are not generally eligible for the Concept-to-Customer Bootcamp. Do you intend to pivot to a B2B or B2B2C model? If so, why and how? Please be specific.

Startup Team

10. List up to three key members of the founding and/or leadership team, including titles/roles

	Name	Title/Role	LinkedIn or Bio Link
Team Member #1
Team Member #2
Team Member #3

11. How many full-time salaried employees does your startup currently have?

Note: this could be "0" if there are no employees working for the business full-time (40+ hours) and/or taking a salary from the business

Startup Product

12. In a few sentences or less, please briefly describe your product/concept. (Keep it simple, we'll get into details later!)

13. Why did you pick this idea to work on ?

14. What problem is the business solving? (Tell us what your target audience is struggling with, and why they might be unsatisfied with the current solutions available.)

15. How does your idea solve this problem? (Describe the technology you are building. What existing products/tools are you using? What new technology are you developing?)

16. Do you own any intellectual property (IP) related to the technology? (If so, briefly describe.)

17. What have you built so far, if anything? Please select one option, reflecting the furthest stage/milestone you've reached.

Concept OnlyCustomer DiscoveryProof of ConceptPrototypeMVPPilotDeployed ProductRegulatory Package/Validation Underway

Startup Strategy

18. Describe the company's current or likely customers.

19. Have you spoken to potential customers? If yes, who? What was their feedback?

20. Who is your biggest competitor? What do you do better?

21. Are people using your product already? If yes, who?

22. What are you working on next with your product? How can Rev1 help?

Demographics

23. Is the company owned or founded by a minority?

YesNoPrefer not to specify

23a. Please Specify:

24. Is the company owned or founded by a woman?

YesNoPrefer not to specify

25. Is the company owned or founded by a veteran?

YesNoPrefer not to specify

26. Rev1 primarily works with private companies that have at least 50% of employees and assets located in Ohio. Is the company privately held and is it already located in Ohio (50% or more), or are there strategic plans in place to relocate to Ohio?

Located in Ohio (50%+ of employees/assets)Planning to RelocateNot in Ohio, Not Planning to Relocate

26a. Please provide additional context around your strategic plans to relocate to Ohio.

Program Commitment

27. I understand that this program requires 3 days (up to eight hours of 'classroom' time per day), as well as outside-of-class work. Days 1 and 3 are on-site and in-person (Rev1 @ The Peninsula) while Day 2 is virtual. I can commit to attending this program in full and completing the necessary asynchronous work.

Yes, I can commitI am unclear or have concerns about this level of commitment

File Uploads

28. If you'd like, please provide a link to a video (up to three minutes in length) describing the problem you are solving, the solution you are proposing, and who your customers are. Tell us what makes your idea stand out from existing solutions - and feel free to include any progress you've made in building a product, talking to customers, or generating revenue or other sources of capital.

29. If you have one, please upload your current pitch deck, executive summary, or relevant documentation

25MB max per file. 30MB max for ALL files uploaded. Please PDF/compress files if over the limit, or the submission will result in error.

Intake Source

LEAD Spambot Destroyer! (linked from "Located in Ohio" question)

APPLICATION Spambot Destroyer! (linked from "Tech Startup" question)

Requested Rev1 Assistance

Form ID

Application Type

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Related Documents:

Your Personal Info

Startup Details

Startup Team

Startup Product

Startup Strategy

Demographics

Program Commitment

File Uploads

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