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Proof-of-Concept Form
Section I
The initiative is led by Connecticut Innovations and CTNext. Before you complete the form for more information, we encourage you to review the FAQ, which provides answers to some common questions about the process and eligibility. If you review the criteria and believe your company is a fit, complete the form below to start the process. Please reach out to Tamyra Davis (Tamyra.Davis@ctinnovations.com), investment specialist at Connecticut Innovations, if you have any questions.
Contact name
*
Name of company
*
Email
*
Phone
*
Investment pitch deck
*
The investor deck should include the company’s leadership and team, company and technology/product, value proposition and desired outcomes of funding, target market and strategy, business model and project plan.
Business plan
The business plan is optional. Business plans should include an executive summary, value proposition and business structure, market strategy, management team and the financial state of the company.
Financials
*
Financials should include the most recent balance sheet, cash flow and income statements. A sources and uses document surrounding the request for funding through this initiative should also be included.
Is the company minority-owned?
*
Yes
No
To better understand the companies we work with and to further our goal of diversity in our business endeavors, we are also requesting the following information about company owners. This question is optional.
The owner is (please select):
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Is the company woman-owned?
*
Yes
No
Is the company veteran-owned?
*
Yes
No
Is the company disabled-owned?
*
Yes
No
To date, what is your biggest barrier in growing your business?
*
Access to capital
Network
Pandemic
Access to talent
Access to mentors
Market penetration
Scaling issues
Cash flow
Were you referred to the Proof-of-Concept Initiative?
*
Yes
No
If yes, by whom?
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