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Our Startups
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Application Form
Contact Information
Full Name
LinkedIn (or other Online Biography) URL
Email
Phone #
Demographic Information
City of residence
Gender
Select
Male
Female
Employment
Select
Full-time employee
Part-time employee
Full-time in the startup
Student
Age
Skills and Team Information
What is your role in the startup?
How many people other than you are on your team?
Select
0
1
2
3
4+
If more than 1, Founders' Names and Roles
Do you have a team member with technical experience?
Select
Yes
No
Startup Information
Startup Name
Startup’s Website URL (optional)
Startup’s Social Media URL (optional)
Year Founded
Is your startup already registered?
Select
Yes
No
If Yes, When and Where?
Current Stage of Development
Select
Idea Stage
Prototype/MVP Developed
Product Launched
Revenue Generating
Describe your startup (50 words maximum)
Momentum/progress
Sector
Select
technology
education
retail
SaaS
fintech
agri-food
logistics
entertainment
health
other
Select the two areas where you most need help building a business
Basic entrepreneurship training
Idea validation
building the MVP/Prototype
Marketing
Sales
fundraising
product development
strategic partnerships
networking
internationalization
Product Details
What problem does it solve?
Who are your target customers?
Current number of users or customers (if applicable)
Additional Information
What are your objectives for joining this incubation program?
Specific areas where you seek mentorship or support?
Preferred location of the program
Select
Abu Dis
Jerusalem
Ramallah
Attachments
Link here a 1-minute video describing your startup
Attach your pitch deck or any document/video of your startup
Submit Application