This form is used by Entrepreneurs with idea-stage/ pre-revenue companies to apply for assistance through The Appalachian Venture Foundry, an Appalachian Investors Alliance Service. This form will auto-save in your browser and can be reviewed before you submit it.

Please respond directly to each required section.  Required sections have a red asterisk next to the section name.  Feel free to cut and paste from previously created content at your discretion.  Do not respond to sections with "see referenced document", as your application will not be processed.  For those sections that are not required, we encourage you to provide what you can because our service to you will only be better with more complete information.

IMPORTANT:

A pitch deck will be requested as an attachment at the bottom of this form.

If you do not have a pitch deck at this time, we encourage you to create one prior to beginning your application.  The more information you share, the better we can serve you.

Contact Information
For this section, please enter information for the primary contact person with which the Fund should communicate regarding this application.
Who referred you to apply to the Fund?
Company Information
Legal name of the company, as registered with the State of its Incorporation, in which the proposed funds will be invested?
Please enter the name of your CEO, even if entered above as the contact person.
Please enter the year in which the company started. Note: If the company has changed the State in which it is registered, the legal structure of the company and/or the legal name under which it is registered, enter the date for the ORIGINAL entity. Commentary in the "Other Comments/Information" section below regarding these changes is appreciated.
Choose the industry that best fits your business.
Location
Please provide your company's primary PHYSICAL address below:
County in which the business resides.
Enter the number of FTE's or equivalents.
Financing Information
$
How much are you looking to raise?
Please choose the type of financing sought.
Provide an itemized listing and summary description of the intended use of funds requested.
Business Information
Please respond directly to each section.  Feel free to cut and paste from previously created content or documents within your linked document repository at your discretion.  Do not respond to sections with "see referenced document", as your application will not be processed.
Briefly describe the business' value proposition to customers, to include the problem you have identified, your solution to the problem, and why this company was founded.
Simple description of the product(s) or service(s) offered.
Market analysis to include TAM, SAM, SOM, marketing segmentation, target customer profile, and positioning (STP).
Provide details of your go-to-market strategy, including sales channels, milestones, expected sales cycle, pricing and strategy, expected margins, and plans to scale.
Summarize how you will stimulate demand and close business. Please differentiate, as needed, if you are planning a multi-channel business model.
List the direct and indirect competitors in your target market, both current and foreseeable.
In comparison to your stated competitors, provide details of how your product/service is differentiated and how you intend to leverage identified strengths and opportunities while defending against weaknesses and threats.
Please provide http links to LinkedIn profiles for your top managers (4 maximum). Identify current gaps in the team and your plan to fill them.
Share any additional details that will help the fund to understand your company and why your company would make an excellent addition to its investment portfolio. Provide URLs and/or other information references that may be helpful in understanding your business.
Add the internet address (URL) of a Dropbox folder, Google Drive folder or similar cloud-based storage of company files.
Required Documents *
By submitting this application, you agree to provide within your document link above or via follow-up communication the required documentation listed above for processing of your application. Please check ALL of the boxes above prior to submission.
Please tell us what assistance you are requesting from the Foundry. Be as specific in your description as you can.