FounderNV Registration

First name*

Last name*

Email*

Phone*

Please provide a mobile phone number where we can reach you by text and/or voice.

Residence Zip Code*

For census data

Legal Company name*

Company formed in which US State?*

Type ONE State

Address*

City*

US State*

Postal Code*

Your Startup Stage*

Select one. Do not select Ready for Funding unless you have Sales Revenue.

Number of employees

About Your Company (tell us what you do)*

Briefly describe your business - what it does, how it operates. Describe your business model: What do you sell, to whom and for what (ex. Subscription model / product via wholesale channel / product direct to consumer / e-retailer / component to manufacturer / professional service / etc.)

Website URL

Please choose the option that best describes your business execution experience:*

I'm a new founder - this is my first business

I've worked in the field and have raised capital and had an exit as part of a team

I'm an experienced founder in this field, have raised capital, and had one or more successful exits

I'm a new founder - have experience in this field, but no experience raising capital

About You*

Tell us about your professional career and what led you to start the company.

Gender Option*

Female

Male

Non-binary

Prefer Not to Answer

Ethnicity*

African American

Asian American

Caucasian

Hispanic

Native American

Prefer not to answer

Other

Enterprise Community*

Women Owned Business

Minority Owned Business

LGBTQ Owned Business

Veteran Owned Business

Disabled Veteran Owned Business

Physically Challenged Owned Business

None of these

Prefer not to answer

Location*

Reno

Las Vegas

Rural NV

Outside NV

International

Referred by

Tell us how or from whom you heard about us

Acknowledgment:

I understand the information I submit will be used by StartUpNV to evaluate my business and provide feedback.