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Early Stage Member

Affinity Program + Member Application

WMNtech Founders, BLKtech Founders, and LTNtech Founders are 1871's Affinity programs offerings for early stage members are fully included in your membership. They provide specialized content & opportunities for underrepresented founders.

After completing this application, an 1871 team member will determine your eligibility and follow up with you to share next steps!

If you would like to learn more about 1871, please feel free to attend an early-stage Info Session!

Note, all of your responses will remain confidential. Your answers to the following questions will help us connect you with the best resources for your individual needs and future opportunities at 1871.

Which Affinity program are you applying for?*

Help us get to know your company!

Company Name (if applicable)*

Please provide a link to your website or portfolio (if applicable)

When did you start the company or product? *

MM/DD/YYYY

Month/Day/Year

What country is your company headquartered in?*

What state is your company headquartered in?*

What city is your company headquartered in?*

Current Pyros Stage*

Explore: I am a founder who is passionate about a business idea and want to test it
Build: I am a founder who has demonstrated some early market validation with a scrappy prototype
Launch: I am a founder who has identified early indicators of product/market fit and am ready to test growth strategies and the business model
Catapult: I am a founder who has proven the business model works and the market is there and am ready to scale the team and the company

Please provide a 3-5 sentence description of your solution or idea*

Who is your customer and what problem do you solve for them?*

How have you validated this problem so far?*

Why is your solution or strategy superior to your competitors? Do you have unique insights, approaches, or advantages?*

Describe how you currently or plan to earn revenue?*

Have you raised funding?*

Yes

Not Applicable

If you have raised funding, how much have you raised? (Confidential)

Full time employees*

Are you planning on providing any additional team members with an 1871 membership?*

Help us get to know you!

First name*

Last name*

Email*

What is your date of birth? Please provide your answer in the MM/DD/YYYY format.*

Current Country of Residence*

Current State of Residence*

Current City of Residence*

Current zipcode*

Personal LinkedIn URL*

Job title*

Scholarship Interest*

Yes

Choose your experience:

What type of access do you want to 1871?*

Virtual (Online only access to 1871 resources)

Open Desk (Full-time 24/7 access to communal space all 1871 resources virtual and in-person)

Dedicated Desk (Full-time 24/7 access to a dedicated desk and communal space all 1871 resources virtual and in-person)

Help us help you!

Have you attended an Affinity/1871 Info Session?*

Yes

Help us better understand what you selected above. What biggest hurdle(s) keep you up at night? Where do you think 1871 can add the most value?*