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Startup Acceleration Program — Registration Form
Section 1: General Information
Startup Name
*
Startup Website / Social Media (if any)
*
Date Established
*
Startup Location (City / Governorate)
*
Contact Person
Full Name
*
Position/Role
*
Email
*
Phone Number
*
Section 2: Team Information
Number of Team Members
*
List Core Team Members and Their Roles
Is your startup officially registered?
*
Yes (attach registration document) ☐ ☐
No, but planning to register
No, not registered
Section 3: Startup Profile
Brief Description of Your Startup (max 200 words)
*
?
Field / Sector
*
Technology / ICT
Tourism
Green & Sustainable Solutions
Health / MedTech
Social Impact / Community Development
Agriculture / AgriTech
Other
Business Type
*
Social Enterprise
SME
Startup (for-profit)
Other
Stage of Development
*
Idea / Concept Stage
Prototype / MVP
Post–Customer Discovery (validated need)
Early Market Traction
Growth / Scaling
Section 4: Traction and Momentum
Describe your customer base and current traction (users, revenue, partnerships, etc.)
*
What key milestones or progress have you achieved in the past 6–12 months?
*
?
Do you have any paying customers?
*
Yes
No
Section 5: Impact and Vision
What social, environmental, or economic impact does your startup create?
*
How do you plan to scale your impact in the next 1–2 years?
*
How does your startup create opportunities or leverage existing resources to generate wider benefits (jobs, partnerships, community development, etc.)?
*
Section 6: Founder & Team Commitment
Why do you want to join this acceleration program?
*
Describe the founder’s vision and commitment to the startup (include flexibility, adaptability, and long-term goals).
How much time can the founder and core team dedicate to the program? ☐ Full-time ☐ Part-time (at least 10 hrs/week) ☐ Occasional involvement
How much time can the founder and core team dedicate to the program?
Full-time
Part-time (at least 10 hrs/week)
Occasional involvement
Section 7: Scalability & Investability
What is your revenue model or plan for financial sustainability?
*
What are your main funding needs?
*
Product Development
Market Expansion
Operations / Hiring
Marketing / Branding
Technology Infrastructure
Other
Is your startup currently seeking investment or has received any?
*
Yes
No
Section 8: Attachments
Pitch Deck
*
Company Registration Document
Additional Supporting Materials
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