Which Startup Partner Program are you applying to? *

Seed-Stage: Organizations that work with early stage startups that have less than $2m in funding.

Series A Stage: Organizations that work with and invest in startups that have received their Series A institutional round of funding.

Both Seed-Stage & Series A Stage

Name *

First

Last

Email *

Phone *

Job Title *

Are you responsible for managing partnerships and portfolio benefits? *

Company Name *

Web Site *

Number of Employees *

Postal Code *

Country *

Which best describes your business? *

Venture Capital

Accelerator

Incubator

University Startup Program

Veteran Organization

How many companies are in your portfolio? *

How many companies are you planning to add to your portfolio this year? *

How much do your portfolio companies typically raise at the time they join your portfolio? *

Do you take equity in your portfolio companies? *

Yes

Do you have an application process or conduct due diligence? *

Yes

Do you offer your portfolio companies training and/or mentoring? *

Yes

Do you teach sales, marketing, and/or services to your portfolio companies? *

Yes

Do you offer benefits and/or perks for your portfolio companies? *

Yes

What are the goals for your portfolio? *

What are the challenges for your portfolio? *

Partner Agreement

View Lead Liaison's Startups Partner Agreement here.

Boolean *

I agree to the Startups Partner Agreement terms and conditions, which I understand will apply if I am accepted to participate in the Startup Partner Program. I am authorized to agree to these terms on behalf of the program I indicate above.