Innovate ND · Starter Portal

1. First Name

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2. Last Name

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3. Business Name

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4. Address

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5. City

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6. State

7. Zip Code

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8. Country

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9. Email

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10. Phone

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11. LinkedIn

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12. Website

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13. Is your business headquartered in North Dakota?

NoYes

14. Is your business registered and in good standing with the ND Secretary of State's Office?

NoYes

15. Briefly describe your business in a few sentences and the problem you are solving.

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16. Do you currently have customers using your product or service?

NoYes

17. Is your business generating revenue?

NoYes

18. Describe the current level of traction. May include revenue generated in the last month, revenue generated in the lifetime of your company, monthly revenue growth rate, number of customers, notable customers, number of paid or unpaid pilots, etc.

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19. Tell us about your team and why you are the right team to solve the problem you described above.

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20. Who are your main competitors?

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21. If a customer is not purchasing from you, what are they using instead?

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22. Have you participated in any other state or local programs?

NoYes

22a. If yes, list the program(s).

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23. Have you obtained outside funding to this point (grants, loans, angel investments)?

NoYes

23a. If yes, list the funding sources and amounts.

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24. Industry

25. Besides funding, what are the biggest challenges facing your company now?

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26. What are the top three objectives you would like to accomplish while in the InnovateND program?

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27. Assuming everything goes according to your plan, hat does your business look like in one year?

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28. What type of jobs do you anticipate you will need to hire for over the course of the next 3 years?

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29. What types of skills will be required for the positions you listed in Question 28?

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30. Do you currently work on your startup full time? If not, please explain your employment status.

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31. What motivated you to apply for the Innovate ND program?

If other, please explain

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32. What are your expectations from the Innovate ND program?

If other, please explain

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33. Do you have previous experience working for a startup? If yes, please describe.

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34. How much time can you commit to the Innovate ND program on a weekly basis?

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35. Are there specific mentors or industry experts you’d like to see in the program?

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36. How did you hear about this program?

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37. Do you have any accessibility or accommodation needs? If yes, please explain.

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Innovate ND Applications

Please complete the following information for your preliminary application for Innovate ND