Spotlight Presenter Application Form

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Company Name:
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Web Site Address:
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Three Sentence Description of the Business
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How did you learn of the Venture Club of Indiana's Spotlight Presenter program?
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Any previous experience with VCI?
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Stage of Development - check as many as apply
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Market:

What unmet need in the market does the business serve?
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Capitalization:

Amount and source of capital funding to date.
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Current capital being sought, and use of these funds.
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Anticipated additional capital needs beyond current round.
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Management Team and Key Advisors

Name:
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Role:
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Relevant Experience
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E-mail Address
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Full Time?:
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Start Date:
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Name:
Role:
Relevant Experience
E-mail Address
Full Time?:
Start Date:
Name:
Role:
Relevant Experience
E-mail Address
Full Time?:
Start Date:
Name:
Role:
Relevant Experience
E-mail Address
Full Time?:
Start Date:
Name:
Role:
Relevant Experience
E-mail Address
Full Time?:
Start Date:
Name:
Role:
Relevant Experience
Full Time?:
Start Date:

Intellectual Property

Please provide brief description, as well as stage of development.
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Who is your direct competition?
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Supporting Documentation

If available, please attach an executive summary (2 pages maximum) and PowerPoint slide deck (10 slides maximum). Include contact information for business key contact person.

Executive Summary:
PowerPoint Slide Deck:

Please type the alpha-numeric code above (case sensitive):

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