Invitation to Share Your Story and Apply for Funding*
Use this form to tell us about your company so we can get this conversation started!

*Note, we anticipate Skin in the Game will launch Summer 2018. Application does not guarantee selection or funding.
Apply now
 
Thank you for you interest in Skin in the Game. 

What is your first name? *

 
What is your last name, {{answer_m1YcmKGmdxEX}}?

 
And your email address?

So we can follow up with you concerning the status of this application
 
And a phone number where you can be reached?

 
What is the legal name of the company seeking funding?

 
What can we call {{answer_uVZFozpC2Do1}} "for short"?

Is there an acronym or other name you are Doing Business As (DBA) that we can use?
 
Enter the company website address here:

 
Are you a Founder of {{answer_UCArypF7s035}}?

     
 
Please provide a one-sentence description of {{answer_UCArypF7s035}}'s business.

 
To what problem is {{answer_UCArypF7s035}} the answer?

 
Is {{answer_UCArypF7s035}} legally based and operating in the United States? *

At this time, Skin in the Game is designed to serve businesses whose "home base" is in the United States
     
 
It sounds like {{answer_UCArypF7s035}} doesn't meet Skin in the Game's minimum requirements for funding at this time.

We'd love to stay in touch and alert you of other opportunities we see to help, including possible referrals to other funders. 

Would you like us to do that?

     
 
In what ZIP Code is {{answer_UCArypF7s035}}'s primary address?

That is, the address declared in legal documents as the company "headquarters"
 
What is {{answer_UCArypF7s035}}'s street address?

This is what our producers will enter into GPS to scope out your location for filming
 
What is {{answer_UCArypF7s035}}'s Employer Identification Number (EIN)?

The 9-digit number also known as your Federal Tax Identification Number.
 
When was {{answer_UCArypF7s035}} founded? *

That is, officially incorporated or organized as a legal entity

 
When did it become operational?

If different from date founded

 
Which of these best describes how {{answer_UCArypF7s035}} came into the hands of its current owners?


 
Every business makes an impact.

Which of the following best describes the sort of impact {{answer_UCArypF7s035}} is poised to make?


 
Tell us what is most innovative about {{answer_UCArypF7s035}}, in brief. *

 
Are all of these conditions true?

{{answer_UCArypF7s035}} is ...

a) currently seeking growth capital,
b) open to a rigorous vetting* process, and
c) willing to participate in filming, in-studio appearances, and follow-ups.

*Vetting includes third party review of company financials, customer contracts, and background checks for founders and key employees. Proprietary information will be protected
     
 
It sounds like {{answer_UCArypF7s035}} doesn't meet Skin in the Game's minimum requirements for funding at this time.

However, if you'd like to keep sharing, we may be able to match you with other opportunities to get the help you need. 

Would you like us to do that?

     
 
How much funding are you seeking at this time?

In U.S. dollars
 
Which of these categories best describe(s) how you plan to use the funding you're seeking?


 
Please explain, in brief, your planned use of funds.

 
How would you describe {{answer_UCArypF7s035}}'s business model?


 
What sector or industry do most of {{answer_UCArypF7s035}}'s customers fall within?

If more than one, please separate with commas.
 
What keywords would help us understand how {{answer_UCArypF7s035}} fits into the current marketplace?

Please enter in Twitter hashtag format, for example, #robotics #cincinnatistartups

 
Whether officially certified as such or not, which of the following applies for {{answer_UCArypF7s035}}'s Founder(s)?


 
If {{answer_UCArypF7s035}} has been officially certified in one of these categories, please indicate which best applies:

If none, skip on ahead. If your specific designation is not listed here — as with some State- and Industry- specific ones — please choose the category that best applies

 
If you have it handy, please enter the Certification # for your {{answer_59891422}} designation.

 
Which stage of business best describes where {{answer_UCArypF7s035}} is today?





 
Is {{answer_UCArypF7s035}} revenue positive?

Answer Yes if the company has collected payment from customers for goods or services delivered
     
 
Is {{answer_UCArypF7s035}} a healthcare business?

Our vetting criteria is a bit different for healthcare companies
     
 
It sounds like {{answer_UCArypF7s035}} doesn't meet Skin in the Game's minimum requirements for funding at this time.

We'd love to stay in touch and alert you of other opportunities we see to help, including possible referrals to other funders. 

Would you like us to do that?

     
 
What level of revenue did {{answer_UCArypF7s035}} collect last year? *


 
How many full-time employees does {{answer_UCArypF7s035}} support today?

Please exclude contractors and anyone working on a part-time, deferred pay, reduced pay, for-equity, volunteer or quasi-volunteer basis (even Founders, if the description fits)
 
When did {{answer_UCArypF7s035}} start paying its employees "for real"?


 
It sounds like {{answer_UCArypF7s035}} doesn't meet Skin in the Game's minimum requirements for funding at this time.

We'd love to stay in touch and alert you of other opportunities we see to help, including possible referrals to other funders. 

Would you like us to do that?

     
 
Has {{answer_UCArypF7s035}}  ever "downsized" via "lay offs" or other staff reduction?

     
 
Please explain briefly what instigated that and how it went.

 
One last question for now: On a scale of 1-10, how well did we meet our objective of making this experience easy for you?

Thank you for your application!

Our producers will get "right on it" and be in touch shortly.
Please check your email for status updates.

Application does not guarantee selection or funding.

Bye for now