Company Name Does at least one of the company founders identify as a female Latina and/or female Latin American? Yes No Does the CEO identify as female Latina and/or female Latin American? Yes No Contact Email Address First and Last Name of Female Founder Submitting this Form Title of Female Founder Submitting this Form Please share LinkedIn profile of Founder submitting this form (please use https:// format) Please share a description of your company in one or two sentences. (Max 50 words) What problem are you trying to solve or need are you looking to fulfill? And, what have you done to validate that there is a problem or a need? Please share more below. Company Headquarters Company Website (please use https:// format) How are you incorporated? Please select one of the following. Delaware C Corp Cayman United States LLC (Limited Liability Corporation) US Non profit Other Upload a PDF of your deck Youtube URL of your pitch video, 2 mins max duration. Please be sure that: 1. Your Youtube video is public or hidden (not private). 2. Make sure it can be embedded anywhere. 3. Do not check the box "content for children”. 4. Name the video with the name of your company. 5. Add a description to the Youtube video that shortly describes what your product or service is about. How much money in $ USD in total have you raised based on the date you submitted this startup competition application? Please expect we will ask for a capitalization table with all the funding received if you are selected to keep moving forward in the process. $0 $0.1 - $10,000 $10,001- $50,000 $50,001 - $100,000 $100,001 - $300,000 $300,001- $500,000 $500,001 - $750,000 $750,000+ What month and year was your company founded? For example, November 2020. What inspired you to work for this company? Who is your target customer? What is your unfair advantage? Why does this business make sense to build today versus 5 years from now or 5 years earlier? What has been built? Concept / Idea Pre-product but more advanced than a concept Pre-launch with an MVP or prototype Launched Do you plan to seek additional financing beyond this pitch competition? Yes No If yes, how much? For example, $3,000,0000 USD. If not, please write N/A. (Please indicate in $USD) How many founders does your startup have? 1 (Solo founder) 2 3 4 or more Are you a first-time startup tech founder? Yes No Do you have a technical Co-founder? Yes No No, but I built a prototype because the tech was outsourced Annual Revenue (Actual) Pre-revenue $0 - $100,000 USD $100,000 - $1,000,000 USD $1,000,000+ USD Please share the key traction metrics that are most relevant for your company. Examples of metrics may include the following: active users, user growth rate, retention rate, churn rate, net revenue, GMV, take rate, average order value, CAC payback, LTV/CAC ratio, # of signed contracts, annual value of signed contracts, # of contracts in the pipeline, annual value of contracts in the pipeline, etc. Select your primary business model B2C B2B B2B2C Select your industry AgricultureTech Analytics / AI ARVR Tech BeautyTech ConstructionTech CRMTech DevToolsTech EarthTech / Environment eCommerce EdTech EventTech FashionTech FinTech / Payments FoodTech FundRaising GovernmentTech HealthTech / WellnessTech HRTech InsureTech LegalTech LeissureTech LogisticsTech Marketplace MarTech (Marketing) MediaTech ProfessionalDevelopment RealEstateTech / HomeImprovementTech ScienceTech SecurityTech SocialNetwork Telecom TechServices TransportationTech Other Select the product/service your company offers? Software Hardware Services Physical Products To date, from which of the below have you received the biggest amount of financing? Self-funded Friends and Family Accelerator Investment Angel Investment Angel Group Investment Crowdfunding Venture Capital Firms Non-dilutive Grants (competitions, government, etc.) Bank Loan Other How did you find out about us? Internet Search Latinas in Tech Website Latinas in Tech LinkedIn Latinas in Tech Facebook Page Latinas in Tech Instagram An Accelerator Shared the Opportunity Latinas in Tech Chapter Latinas in Tech Entrepreneurship Committee Friend made me aware Friend who is a Latinas in Tech member made me aware By submitting this application, I agree to the Terms and Conditions below. I agree Submit
