Step 1

A quick overview of what you're building

Company
About the Founders
Description and Metrics
Final Step

Surge application

Application form for Surge

"*" indicates required fields

1Company

2Company

3Company

4Company

5Company

6Company

7About the Founders

8About the Founders

9About the Founders

10About the Founders

11About the Founders

12About the Founders

13Description and Metrics

14Description and Metrics

15Description and Metrics

16Description and Metrics

17Description and Metrics

18Description and Metrics

19Final Step

20Final Step

21Final Step

Company

Question 1

Company Name*

Question 2

Link to your company website

Please double-check to ensure this is the correct URL. If you don't have a website yet, please leave this blank.

Question 3

In which country is your company registered?*

Question 4

Which category best applies to your company?

Question 5

Where are your customers/users located?*

If you have customers in multiple locations, pick the country where you've seen/expect to see most traction

Question 6

Has your company raised any funding already?*

Yes

If yes, how much was the total investment? (In USD)*

Please enter a number greater than or equal to 0.

About the Founders

Question 7

Full Name of the founder filling this application*

Question 8

Area Code

Phone Number*

Question 9

Email address of the founder filling this application*

We will send all communication to this email. Please make sure it's not a role-based email address.

Question 10

LinkedIn URL of the founder filling the application*

Question 11

Please fill out your other co-founders' 1) Name 2) email address 3) contact number 4) LinkedIn URL 5) city they are located in.*

Format: Full name, email address, contact number, LinkedIn URL, city.

Question 12

Is there a unique story or something special about the founders that you’d like to share?

We'd love to know why you're building this product/company now and what experiences influenced you to do so.

Description and Metrics

Question 13

In one sentence, describe what your company does.*

Question 14

What is the problem you're trying to solve?*

Question 15

What is unique about what you’re building?*

Question 16

Why are you the right team to solve this problem and build this business?*

Are there capabilities or expertise that your team has in this field that others may not?

Question 17

Where is your company in its lifecycle?*

Question 18

Do you have any traction metrics to share with us?

This will help us understand your company's growth. If you are pre-launch, please put in N/A.

Final Step

Question 19

Please add any materials you'd like to share.

Share your deck, demo, product screenshots, Loom video, etc. Please share a link to Dropbox or Google Slides only. Do set permissions to ‘anyone can access’.

Question 20

[OPTIONAL] Do you have any references that you want to list?

Please add the reference's first name, last name, email address, & relationship to applicant (i.e. teacher, manager, etc.). If your application is successful, we may contact your references for further information. Recommendations help our team to get a sense of an applicant’s background, characteristics and work ethic. Your reference could be from: any senior business leader, teacher, mentor, manager, advisor or investor. If you’re a student without prior experience, a teacher’s reference is absolutely fine.

Question 21

Have you previously spoken to anyone at Surge about fundraising?

If yes, please let us know who. This is only to let us know if we should redirect you to someone who is already familiar with your company.

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