Please note that many entry fields on this application are optional. Required fields are suffixed with an asterisk (*).
Introduction
Name
*
First Name
Last Name
Name of Idea/Company
*
What level of education have you received?
*
Still in High School
Graduated High school
Some college, no degree
Associate degree
Bachelor's degree
Master's degree
Professional degree
Doctorate
We're searching primarily for Gen Z entrepreneurs. Do you match this category?
*
Generation Z is defined as persons born after the year 1995.
Yes
No
Provide a brief description of your idea/company.
*
Specific Information
What differentiates your idea/company?
How long have you been working on your idea/company?
*
Does your company have a website? If so, please insert/paste the URL below.
http://
Has your company already received external funding?
*
Yes
No
Please upload any helpful documents related to your company or idea.
FileField;MaxSize=5120;Multiple;addText=Add_your_Files;
Personal Information
Please enter the primary name/applicant's personal information only.
What email address can we can contact you at?
*
What is the best phone number we can reach you at?
*
For reference, the US Country Code is 1. You can locate your country code by going to https://countrycode.org/.
Country
(###)
###
####
What is your mailing address?
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Your Twitter Handle
@
Your Website
http://
Please upload your Résumé / CV document.
FileField;MaxSize=20000;Multiple;addText=Add_your_Files;
Finishing Up
Where did you hear about Indicina Ventures?
*
You may use the below textarea for notes/comments related to your referral source.
Friend
Mentor
Teacher/Professor
Colleague
Another VC Firm
Incubator
In the Press/Media
Internet Search (Google, Yahoo!, etc.)
YouTube
Crunchbase
DeckSender
Other (Someone or Something Not Listed Here)
Any additional notes/comments you may have for us:
Thank you!