Proof-of-Concept Form | Connecticut Innovations Connecticut Innovations

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):

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?*

Were you referred to the Proof-of-Concept Initiative?*

Yes
No

If yes, by whom?

CAPTCHA