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First name
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Last name
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Email
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LinkedIn Profile
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Company name
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Company website
Which state are you based in?
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Please Select
NSW
VIC
QLD
WA
SA
TAS
ACT
NT
Which city are you based in?
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Tell us about your technology (~50 words)
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Describe the problem you are solving and how you are solving it (~100 words)
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What year was your business founded?
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How did the business start?
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Self started
Spin out from industry
Spin out from University
Research project
Other
Local subsidiary of international company
Tell us the stage of your business or project
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I have an idea or research
I have a proof of concept
I have built an MVP
I have completed a pilot or trial
I have earlier users
I have paying customers
Tell us the number of patents you have filed/granted
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0
1-3
4-9
10+
How many people are in your team?
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Solo founder
2-5
6-10
11-20
21+
How much funding have you raised for your business so far?
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Please Select
0
<$100K
$100-250K
$250-500K
$500K-1M
$1-5M
$5-10M
$10-20M
$20M+
Who were your first believers?
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That's people who have backed and championed you from the beginning. Please include their name, LinkedIn, and how they have helped you.
What do you want to achieve in the Fast Start program? (~ 50 words)
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Upload your pitch deck (Optional)
Tell us more about your business in a pitch deck. Please use
this template.
Is there anything else you want to tell us?
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