If you are interested to join the next cohort, please fill out the form below!

Company

Company name :

Website :

Main clean technology sector :

CEO's name :

Email address :

Headquarter address :

Year founded :

Product

Answering which market pain / problem solved :

Product/Process/Technology description (Max 150 words) :


words. Please limit to 150 words or less.

Innovation (Max 250 words) :


words. Please limit to 250 words or less.

Environmental impact (Max 250 words) :


words. Please limit to 250 words or less.

Strategic Intelligence

Target market (Max 150 words) :


words. Please limit to 150 words or less.

Competitors (Max 150 words) :


words. Please limit to 150 words or less.

Targeted strategic partners (Max 150 words) :


words. Please limit to 150 words or less.

IP protection (Max 150 words) :


words. Please limit to 150 words or less.

To date

Achievement (main one) :

Next milestones :

How can Ecofuel assist you to meet your business objectives? Tell us what your needs are (Max 250 words) :


words. Please limit to 250 words or less.

Revenues? (Yes, no) :

How are you going to make money (Max 150 words) :


words. Please limit to 150 words or less.

Investors / Investments

Actual investor names/amount :

Investments required over 2 years :

Use of proceeds (Max 150 words) :


words. Please limit to 150 words or less.

Team

Team members names, title & emails :

Board members / Advisors names :

Other

How did you hear about Ecofuel :

Available 2 days per week for 4 months :
 Yes No

Name of the team member(s) that will participate to the program :