CIM@MATTER Venture Application Form
Phase of Development Status
Product Design and Build
Three Key Milestones You've Achieved
What would you hope to accomplish during the 6-month program and how could we help?
What mentor skill sets would be best suited to address the needs of your venture?
When was the company founded?
Are you working on this full-time?
What led you to start the company?
What makes your team the best?
Number of Full-Time Employees
Number of Contractors
Healthcare Problem Your Company Solves
Who is or will be purchasing your product?
Who is the primary end-user of your product?
How large is the market for your product?
Type of Product Company Provides
Do you have intellectual property protection for your technology?
Company's Incorporation Form
Have you raised funding?
Family and Friends
Cash Invested to Date
If relevant, briefly describe your regulatory reimbursement strategy.
What is your exit strategy?
Membership at MATTER
Primary Goals During Time at MATTER
Access to Strategic Partners
Refine Revenue Model
Access to Mentor Network
Develop Go-to-Market Strategy
Further Product Development
Just Need Office Space
Coaching / Mentoring
Marketing / PR Support
MATTER Community Contribution
Desired Program Start Date
How did you hear about CIM@MATTER?
Do you have any questions for MATTER?
Upload your business plan or executive summary here.
We would appreciate seeing your elevator pitch. Please record a 1-minute pitch, upload to YouTube or Vimeo and share the link with us below.
If you do not wish for your video to be visible to those without the URL, you should be able to make it non-public or unlisted, but please do not password protect your video.
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