Application for Swinburne Accelerator Program

Your details

1. Founder(s) information:
2. First name*
3. Last name*
4. Gender*
5. Email*
6. Mobile number*
7. What is your relationship with Swinburne? - Please select - Staff Student Alumni
8. What school or research institute are you associated with?
9. Details of all additional founders (full name, email and Swinburne association)
10. Do you or any of your co-founder identify as Aboriginal or Torres Strait Islander?
11. Do you or any of your co-founders have a disability?
12. Do you have any employees (outside of the co-founders)?
13. Please confirm that at least one founder will attend the Accelerator Program workshops and seminars for the entire 12 weeks (on Swinburne's Hawthorn campus). This does not have to be the same founder at each session as long as the startup is represented at each event. - Please select - Yes No
14. How did you hear about the program?
15. Company information:
16. Startup name*
17. Link to your website*
18. Please describe your business idea in 150 words or less.*
19. Please list the dates of your key milestones (e.g. 1 March 2023: completed customer survey, 14 March 2023: launched social media accounts, 6 June 2023: developed MVP, 10 June 2023: received seed funding, etc.).
20. What key milestones has your startup reached (e.g. customer validation, MVP, marketing activities, product launch)?*
21. What stage is your startup at (e.g. ideation, growth, etc.)?*
22. What funding have you received to date (e.g. equity funding, grant funding, R&D tax incentives)?*
23. ABN (if available)
24. Is your business established and operating as a legal entity? - Please select - Yes No
25. Is your business a not-for-profit or social enterprise? - Please select - Yes No
26. Have you completed an Accelerator Program before or something similar? Please elaborate.*
27. Uploads
28. Please provide a link to a pitch deck outlining your startup.*
29. Please provide a link to your pitch video (three minutes maximum) and unlock access for us to view.*

30. Security Code:

    
    
    
31. Enter Security Code:*