Use this form to apply to be a presenter to the GCVA SoundingBoard.
*Required field
Prefix: Mr. Ms. Mrs. First name:* Last name: * Title: E-mail: Phone:* Fax: Company name:* Address:* City:* State:* AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY Zip:* Company Web site:
Company description: Limit to 50 words or less
Products or services: Limit to 75 words or less
What unmet market need does your product or service fill? Limit to 75 words or less
What is your company's business model? Limit to 75 words or less
What are your company's competitive advantages? Limit to 75 words or less
What is the potential market size for your product / service and who are the dominant players in the market? Limit to 75 words or less
What experience does your management team have in this field or otherwise that makes it likely you will be successful? Limit to 75 words or less
What three (3) major issues is your business facing? Limit to 75 words or less
What is your business's actual revenue level? Pre-revenue $1-$250,000 $250,001-$500,000 $500,001-$1,000,000 More than $1,000,000
What sources of investment has your company received? (check all that apply) Friends and family Pre-seed capital funds Angel capital funds Seed capital funds Venture capital funds I am seeking funds to grow my business in the next 12 months. (check = yes)
If yes, what amount is sought, and how will the funds be used? Limit to 75 words or less
After submitting your presenter application, you will be contacted by GCVA to complete the application process. If you need help or have problems with this form, please call 513-579-3111.
