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This application form is for the ChipStart UK programme. To be eligible to apply, your company must be based in the United Kingdom and have raised less than £1m in equity funding (i.e. not including grants). If this does not apply to you, you can still apply for the Silicon Catalyst two-year programme via https://www.siliconcatalyst.uk/application.

The deadline for applications to the second cohort of the ChipStart UK programme has now passed. However, if you would be interested in applying for possible future cohorts, please complete the company name and contact information sections below and we’ll make sure you are kept informed.

You can download the "Guide for Applicants" for guidance in completing this form.

Company Name

Entrepreneur Information

First Name	Last Name
Job Title	Phone
Email Address

Account Type

Date Founded

Address Line 1

Address Line 2

City

Country

State

Provinces

State/Province

Postal Code

Company Phone Number

Company Headquartered

Company Website

Company LinkedIn URL

Number of Employees

How did you hear about the ChipStart UK programme?

Stage

Idea, Incorporated, Seed Funded, Series A

Management Team

First Name	Last Name
Job Title	Phone
Email	LinkedIn URL

Problem or Market Opportunity

Solution/Product to be Developed

Use of Semiconductors in Solution, Semiconductor type (ASIC, ANALOG-M/S, CPU, MEMORY, MEMS, ETC.), Technology Node (E.G., 180NM)

Current or Expected Customers

Potential Market Size (Initially and Ultimate)

Describe Your Business Model

Competitors & Alternatives

Competitive Advantage

Intellectual Property

Intellectual Property (describe)

Go to Market (Marketing & Sales) Strategy

Feasibility Demonstration

Key Future Technical and Customer Milestones & Deliverables

Current & Desired Partnerships

What are your biggest challenges?

What are your greatest perceived risks?

What do you expect from the ChipStart UK programme? (For example, in-kind partner tools and services, connection to potential advisors, funding support)

Income or Revenue Expected in 12 & 24 Months: Describe the Source

Current Cash Balance & Monthly Cash Burn Rate

Amount of Funding Needed in 12 & 24 Months

Previous Funding & Capital Raised, & From Whom

Primary Expected Expenses by Major Category (Salaries, IP, Prototyping, Design Tools, 3rd Party Services, Office Space, IT)

Exit Strategy (Licensing, Acquisition, IPO)

Pitch Deck

Company Logo

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Contact Information