Skip to form
AVP Accessing Growth Capital Series Program Application
To apply for the Accessing Growth Capital Series Program, please take a few minutes to complete the application form below. Please provide us with accurate and detailed information to ensure a thorough evaluation of your application. All provided data will be kept confidential.
First Name
*
Last Name
*
Email
*
Phone Number
*
City
County
State/Region
Company name
*
Company Website
*
What gender do you identify with?
*
Please Select
Female
Male
Transgender
Non-binary/non-conforming
Prefer to self describe
What country were you born in?
*
What is your ethnic and racial identity?
*
Please Select
American Indian/Alaskan Native
Black/African-American
Asian (Indian, Chinese, Filipino, Japanese, Korean, Vietnamese)
Hispanic or Latino
Native Hawaiian/Pacific Islander (Guamanian, Chamorro, Native Hawaiian, Samoan)
Middle Eastern/North African ancestry
White/Caucasian
Other
Prefer Not to Respond
Does your cofounding team have an underrepresented individual? (Check all that apply)
*
Female
Transgender
African-American
Asian
Hispanic/Other
Veteran
Rural
Are you a veteran?
*
Veteran
Active Duty
Not a Veteran
What is your sexual orientation?
*
Please Select
Heterosexual/Straight
Gay
Bisexual
Prefer to self-describe
Prefer not to respond
Do you identify as transgender?
*
Please Select
Yes
No
Prefer to not respond
Application Motivation
Why do you feel this bootcamp would be beneficial for you?
*
Please submit your pitch deck/company overview to hello@nxtus.io
*
Please Select
I have submitted
What are your current fundraising plans?
*
Any other information we should know?
Submit