Launch Chapel Hill Application
Basic Information
What is the name of your venture?
What is your company's website?
When was your company founded?
Founder/Primary Contact
First Name
Last Name
Email Address
Phone Number
Areas of Expertise
UNC Affiliation
Undergraduate Student
Graduate Student
Faculty
Staff
Alumni - Undergraduate degree
Alumni - Graduate degree
Parent
Friend
Other UNC Affiliation
No UNC Affiliation
UNC PID Number
Add a second founder/team member:
Yes
No
Founder #2
First Name
Last Name
Email Address
Phone Number
Add a third founder/team member:
Yes
No
Founder #3
First Name
Last Name
Email Address
Phone Number
Add a fourth founder/team member:
Yes
No
Founder #4
First Name
Last Name
Email Address
Phone Number
Add a fifth founder/team member:
Yes
No
Founder #5
First Name
Last Name
Email Address
Phone Number
Company Mailing Address
Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
Where is your company physically located?
Same as mailing address
At another address
No physical address
Company Physical Address
Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
Where do you plan to locate your company after graduating from the Launch Chapel Hill program?
Has your company filed articles of incorporation?
Yes
No
When did you incorporate?
What is the ownership structure?
Please select...
501c
LLC - Limited Liability
C Corporation
L3C Low-Profit LLC
Fiscally Sponsored
Sole Proprietorship
S Corporation
Partnership
Benefit Corporation
Other
Do you and your cofounders have an operating agreement?
Yes
No
Company Details
Describe your company in 140 characters or less.
In more detail, what does your company do or make? What is interesting or new about what your company does?
If you have a prototype or demo, please link it here:
Revenue & Funding
Do you have any revenue? If so, when do you expect to be revenue positive?
If you have not made a sale yet, when do you expect to acquire your first customer?
What is your anticipated revenue in year three? When do you expect to break even?
Have you raised any funding? If so, how much and from where (friends/family, angel/seed, prizes, etc.)?
Are you looking to raise outside funding in the next 12 months? If so, how much?
When did you start your business? Describe your team (who is working on the business, are they paid or unpaid, full or part time, etc.).
Please describe any progress or traction that you have achieved. Include customers, user metrics, revenue, or any other indicators of progress.
Who are your competitors? Who might become your competitors? Who do you fear the most?
Program Details
Why are you applying to Launch Chapel Hill and what do you hope to gain?
Have you participated in any other Triangle or UNC entrepreneurship programs, incubators, or accelerators? Please check all that apply:
1789 Venture Lab - Member Track
1789 Venture Lab - Venture Track
Adams Apprenticeship
BeAM - Be A Maker
Campus Y
Carolina Challenge
Carolina Creates
Carolina E(I) Lab
Carolina Kickstart Labs
Chancellor’s Entrepreneurship Workshop
CUBE
Entrepreneurship Minor
Eshelman Institute for Innovation
Global Entrepreneurship Week
Innovate Carolina
KFBS Ctr Entrepreneurial Studies
KFBS Ctr Sport Business
KFBS Ctr Sustainable Enterprise
KickStart Venture Services
Launch Chapel Hill
Market Landscape Research Svc (OCED)
MEITE (School of Education)
NCGrowth
NC TraCS 4D Initiative
Ofc of Entrepreneurial Development(ESOP)
Reese News Lab (Media & Journalism)
SoftLaunch Class (KFBS)
Startup Consulting (TCC)
StartUp UNC (formerly LTV)
UNC Dept of Computer Science
VC Office Innovation Eship & Econ Dev
Other MBA – evening, executive, online
Other
Please enter the program name below:
How many members of your team would you expect to work from the Launch space? (Limit 250 characters.)
How many hours per week will each person be working in the space? (Limit 250 characters.)
How many fixed personal or flex communal desks would your company need? (Limit 250 characters.)
Launch Chapel Hill charges a nominal program fee of $1495 per team to help offset the cost of delivering a world class accelerator program. We do not however want this program fee to be a barrier to participation in the program for innovative start-ups, and therefore we are able to offer a limited number of full and partial scholarships based on mission and need. If you would like to apply for a full or partial scholarship, please provide a rationale of why Launch should offer your team a full or partial scholarship. (250 words or less)
The program fee for the 22-week program is $1495. Are you able to cover this fee?
Yes
No
Please provide a request for either a partial or full scholarship to the program. Scholarships are available based on need, social mission, and UNC affiliation.
Is there anything else you would like to tell us?
Program applying to (validation)
Launch Chapel Hill
Need assistance with this form?