Fill in your application.

question 1

Company Name*

Error: Fill in the company name to proceed

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.

Error: Fill in the company website to proceed

question 3

In which country is your company registered?*

Error: Select the country where the company is registered

question 4

Which category best applies to your company?

Error: Select the option before proceeding

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

Error: Select the customer location before proceeding

question 6

Has your company raised any funding already?*

Yes

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

Error: Add the Total investment values before proceeding

question 7

Full Name of the founder filling this application*

Error: Input Your full name

question 8

Area Code

Phone Number*

Error: At correct mobile 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.

Fill the email in the correct format to proceed

question 10

LinkedIn URL of the founder filling the application*

Error: Fill the LinkedIn URL

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.

Error: Fill in all co-founders details before proceeding

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.

question 13

In one sentence, describe what your company does.*

Error: Fill in the sentence before proceeding

question 14

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

Error: Fill in the Problem Statement

question 15

What is unique about what you’re building?*

Error: Fill in the information to proceed

question 16

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

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

Error: Fill in the information to proceed

question 17

Where is your company in its lifecycle?*

Error: Select the customer location before proceeding

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.

Error: Add your traction metrics, or type N/A if you are pre-launch

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.

1/10

Next Save and continue later*

Application received!

Thanks for taking the time to share your story with us. Our team will review your application carefully and get back to you within 2-3 weeks. In the meantime, keep building!

We couldn't submit your application. Please check your connection and try again. If it keeps failing, email contactus@peakxv.com and we'll take it from there.

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