Test info for entrepreneur

Entrepreneur Application

IMPORTANT: Please note that this application form is no longer being used by Henley Business Angels.

If you would like to apply for funding, please use our new application form here.

First Name: First Name Required

Last Name: Last Name Required

Company Name
Please write the name as registered at Companies House:* Company Name
Please write the name as registered at Companies House is Required

One Line Pitch
This is your statement of benefits that your target customer would get when giving you their business:* One Line Pitch
This is your statement of benefits that your target customer would get when giving you their business is Required

Referred by
If you were referred by someone, please enter their name, if not, please type N/A:* Referred by
If you were referred by someone, please enter their name, if not, please type N/A is Required

Company Type as registered on Companies House:* Company Type as registered on Companies House is Required

Date of Incorporation as on Companies House:* Date of Incorporation as on Companies House is Required

Company Stage:* Company Stage is Required

Primary Industry:* Primary Industry is Required

If you selected other please specify: If you selected other please specify is not valid

Company Address as registered on Companies House:* Company Address as registered on Companies House is Required

Number of Employees:* Number of Employees is Required

Company Website:* Company Website is Required

Founder’s Name and Role
If there is more than one founder, add names of all co-founders and their roles:* Founder’s Name and Role
If there is more than one founder, add names of all co-founders and their roles is Required

Founder’s Telephone Number
If more than one founder, add telephone numbers of all co-founders:* Founder’s Telephone Number
If more than one founder, add telephone numbers of all co-founders is Required

Founder’s Email Address
If more than one founder, add email addresses of all co-founders:* Founder’s Email Address
If more than one founder, add email addresses of all co-founders is Required

Company Social Media Accounts:* Company Social Media Accounts is Required

Description of Company’s Management Team
Provide summary biographies of all members of the management team:* Description of Company’s Management Team
Provide summary biographies of all members of the management team is Required

Company Summary
Add an overview to help investors evaluate your startup. You might like to include your business model, structure and products/services.:* Company Summary
Add an overview to help investors evaluate your startup. You might like to include your business model, structure and products/services. is Required

Business Model
Describe how your company creates, delivers and captures value, in economic, social, cultural or other contexts i.e., how does the company make money?:* Business Model
Describe how your company creates, delivers and captures value, in economic, social, cultural or other contexts i.e., how does the company make money? is Required

Competitors
Describe your direct competitors. If direct competitors don’t exist, describe the existing alternatives and future competitors if known:* Competitors
Describe your direct competitors. If direct competitors don’t exist, describe the existing alternatives and future competitors if known is Required

Include a competitor assessment grid showing advantages and disadvantages versus competition: Include a competitor assessment grid showing advantages and disadvantages versus competition is not valid

Competitive Advantage
What is your company’s competitive or unfair advantage? This can include patents, first-mover advantage, unique expertise, or proprietary processes/technology:* Competitive Advantage
What is your company’s competitive or unfair advantage? This can include patents, first-mover advantage, unique expertise, or proprietary processes/technology is Required

Products and Services
Describe the product or service that you do/will sell and how it solves the customer problem, listing the main value proposition for each product/service:* Products and Services
Describe the product or service that you do/will sell and how it solves the customer problem, listing the main value proposition for each product/service is Required

Sales and Marketing Strategy
What is your customer acquisition and retention strategy? Detail how you will promote, sell and create customer loyalty for your products and services:* Sales and Marketing Strategy
What is your customer acquisition and retention strategy? Detail how you will promote, sell and create customer loyalty for your products and services is Required

Target Market:* Target Market is Required

Customer Problem:* Customer Problem is Required

Annual Revenue Run Rate
Revenue run rate is your annualised revenue if you were to extrapolate your previous month’s revenue over a 12-month period:* Annual Revenue Run Rate
Revenue run rate is your annualised revenue if you were to extrapolate your previous month’s revenue over a 12-month period is Required

Monthly Burn Rate
Burn rate is a measure of your company’s negative cash flow. Simply put, it’s the amount of capital you go through each month:* Monthly Burn Rate
Burn rate is a measure of your company’s negative cash flow. Simply put, it’s the amount of capital you go through each month is Required

Key Assumptions
What are the key assumptions that underpin the P&L projections e.g., product introductions, new market entries, headcount growth, major contract wins: Key Assumptions
What are the key assumptions that underpin the P&L projections e.g., product introductions, new market entries, headcount growth, major contract wins is not valid

Risks
List the risks to achieving your P&L projections and for each risk, describe your mitigating strategy:* Risks
List the risks to achieving your P&L projections and for each risk, describe your mitigating strategy is Required

Do contracts of employment explicitly assign IP to the company?:* Do contracts of employment explicitly assign IP to the company? is Required

What is your IP Strategy?
Clearly detail your IP – Domain names, Trademarks, Design Rights, Copyright, knowledge and know-how, and Patents. Explain the status of patents – applied, examination, pending, granted. Make sure you highlight any Freedom to Operate work. Explain what geographies are covered:* What is your IP Strategy?
Clearly detail your IP – Domain names, Trademarks, Design Rights, Copyright, knowledge and know-how, and Patents. Explain the status of patents – applied, examination, pending, granted. Make sure you highlight any Freedom to Operate work. Explain what geographies are covered is Required

Have you licensed any IP to others or are you licensing technology from others?
Provide details of who has been licensed and on what terms and likewise from whom you have licensed IP and on what terms:* Have you licensed any IP to others or are you licensing technology from others?
Provide details of who has been licensed and on what terms and likewise from whom you have licensed IP and on what terms is Required

Current Funding Round:* Current Funding Round is Required

If you have selected other please specify: If you have selected other please specify is not valid

Seeking
Provide a figure on how much funding you are seeking for this round and at what Pre-Money Valuation (PMV):* Seeking
Provide a figure on how much funding you are seeking for this round and at what Pre-Money Valuation (PMV) is Required

Security:* Security is Required

If you have selected other please specify: If you have selected other please specify is not valid

Funding History
Please provide information about previous funding rounds that your company has raised, stating the type of round, the capital raised, and the round’s closing date:* Funding History
Please provide information about previous funding rounds that your company has raised, stating the type of round, the capital raised, and the round’s closing date is Required

What is your exit strategy?:* What is your exit strategy? is Required

Profit and Loss Projections
Please note, Operating Expenses must be broken down by type (e.g. Sales and Marketing, R&D, Rent and Rates, admin) and additional rows have been left blank to facilitate this. Cashflow has also been included. (template download):* Profit and Loss Projections
Please note, Operating Expenses must be broken down by type (e.g. Sales and Marketing, R&D, Rent and Rates, admin) and additional rows have been left blank to facilitate this. Cashflow has also been included. (template download) is Required

Pitch Deck
Preferred File Types: PowerPoint or PDF:* Pitch Deck
Preferred File Types: PowerPoint or PDF is Required

Business Plan
What is your long-term business plan? Preferred File Types: .pdf, .doc, .xls:* Business Plan
What is your long-term business plan? Preferred File Types: .pdf, .doc, .xls is Required

Financial Projections
Provide an overview of where your financials are headed within the next 5 years. Preferred File Types: .pdf, .doc, .xls Template download:* Financial Projections
Provide an overview of where your financials are headed within the next 5 years. Preferred File Types: .pdf, .doc, .xls Template download is Required

Logo: Logo is not valid

YouTube Video Link: YouTube Video Link is not valid

Please Note the Gender Identity(ies) of Your Company’s Founding Team
We ask for this information so that we can fulfil our role as a signatory to the Investing In Women Code, a commitment initiative founded by HM Treasury to encourage a more diverse and inclusive business ecosystem. Each year, Henley Business Angels is asked to provide anonymised data on the network’s investments and applications during certain time periods. By adding this to our application form, it allows entrepreneurs to self-identify for the purposes of this data collection. We do not share this data with our members or anyone other than the team supporting the anonymised data collection for the Investing In Women Code. You can find out more about the Investing In Women Code here: https://www.gov.uk/government/publications/investing-in-women-code. If you do not wish to provide this information, for whatever reason, please write ‘No’. :* Please Note the Gender Identity(ies) of Your Company’s Founding Team
We ask for this information so that we can fulfil our role as a signatory to the Investing In Women Code, a commitment initiative founded by HM Treasury to encourage a more diverse and inclusive business ecosystem. Each year, Henley Business Angels is asked to provide anonymised data on the network’s investments and applications during certain time periods. By adding this to our application form, it allows entrepreneurs to self-identify for the purposes of this data collection. We do not share this data with our members or anyone other than the team supporting the anonymised data collection for the Investing In Women Code. You can find out more about the Investing In Women Code here: https://www.gov.uk/government/publications/investing-in-women-code. If you do not wish to provide this information, for whatever reason, please write ‘No’. is Required

Please Note the Ethnicity(ies) of Your Company’s Founding Team
We ask for this information so that we can fulfil our role as a signatory to the Investing In Women Code, a commitment initiative founded by HM Treasury to encourage a more diverse and inclusive business ecosystem. Each year, Henley Business Angels is asked to provide anonymised data on the network’s investments and applications during certain time periods. By adding this to our application form, it allows entrepreneurs to self-identify for the purposes of this data collection. We do not share this data with our members or anyone other than the team supporting the anonymised data collection for the Investing In Women Code. You can find out more about the Investing In Women Code here: https://www.gov.uk/government/publications/investing-in-women-code. If you do not wish to provide this information, for whatever reason, please write ‘No’. :* Please Note the Ethnicity(ies) of Your Company’s Founding Team
We ask for this information so that we can fulfil our role as a signatory to the Investing In Women Code, a commitment initiative founded by HM Treasury to encourage a more diverse and inclusive business ecosystem. Each year, Henley Business Angels is asked to provide anonymised data on the network’s investments and applications during certain time periods. By adding this to our application form, it allows entrepreneurs to self-identify for the purposes of this data collection. We do not share this data with our members or anyone other than the team supporting the anonymised data collection for the Investing In Women Code. You can find out more about the Investing In Women Code here: https://www.gov.uk/government/publications/investing-in-women-code. If you do not wish to provide this information, for whatever reason, please write ‘No’. is Required

I agree to the Terms and Conditions*

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