Google for Startups Immersion: Women Founders Application

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More About You

Since you're not a Google for Startups member yet, we need some more details from you.

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What is your country of origin? Please select from the list below. This might be different from the country you currently live in.

Afghanistan Aland Islands Albania Algeria Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia* Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada* Cape Verde Cayman Islands Central African Republic Chad Chile China* Chinese Taipei Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hungary Iceland India* Indonesia Iran, Islamic Republic of Iraq Ireland* Isle of Man Israel Italy* Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People’s Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mayotte Mexico* Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunesia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States* Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Name Virgin Islands, British Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
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In the next section, we (i.e. Google for Startups (GFS), which is a group within Google) would like to ask you some optional questions about your background and gender identity. We use this information for reporting purposes in order to more fully understand the demographics of users who interact with GFS, the effectiveness of our initiatives from a diversity perspective, and to help design GFS programs and initiatives to drive inclusion and diversity. We know that this information is private and the decision to respond to these questions is up to you. If you do agree to us processing your data, you may choose to answer as many (or as few) of these questions as you like.

A record of the responses which you choose to submit in this section will be retained for no more than three months from the date you provide your responses, after which point your responses will only be used in aggregate form.

If you wish to withdraw your consent to the use of your information for the above purpose or if your wish to exercise any rights that you may have with respect to your personal information, you can do so by emailing gfsprivacy@google.com. "

Do you consent to Google using the demographic data you provide on this form for GFS’ purposes as described above? Yes, I consent No, I do not consent

Gender

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Female Male Non-Binary/Third Gender Prefer not to say Other
You agree that Google may use the information you have provided to contact you about Google for Startups (GFS), including current and upcoming programs or events, marketing and feedback. This includes contacting you about GFS events and programs that may be of particular relevance based on the information you have provided to us. You can change your mind at any time by emailing gfsprivacy@google.com, or unsubscribing via the link in any emails we send you. h By submitting this form, you acknowledge that Google for Startups (GFS) is part of Google and the Google Privacy Policy sets out how GFS handles your data. If you would like to amend or delete any of your responses, or if you would like a copy of your data, please email us at gfsprivacy@google.com.
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Google for Startups Immersion

If you would like a copy of your data, or for us to remove your data from our systems, please email us at gfsprivacy@google.com

Can you confirm your commitment for the entire duration of the program?

12 weeks (7th September - 27th November 2020)

Yes No Unsure
Does the startup have at least one women founder? Yes
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Including the UK and Israel

The Team

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Please insert "+" and your national prefix
What best describes you? Founder or cofounder of a startup C-Level of a startup (CEO, CTO, CMO, COO, etc.) Working for a startup but not one of the above Working for an organization that supports startups (coworking space, accelerator, etc.) Investor Tech freelancer/self-employed (e.g. developer, data scientist, UX/UI designer, etc.) Non-tech freelancer/self-employed (e.g. graphic designer, marketer, photographer, etc.) Founder/employee at a tech enterprise (e.g. software/hardware companies) Founder/employee at a non-tech enterprise (e.g. retail, consumer goods companies, agencies, consultancies, etc.) Student Other
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Please share location/s of your office/s
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Your Company

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Website's should be formatted as "www.yourwebsite.com"
When was your startup founded?
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i.e. Fox & Sheep is changing the world of mobile entertainment and education by delivering high-quality apps that combine exceptional art with compelling storytelling.
Which industry do you operate in? Advertising/Marketing AgTech Automotive Biotech/Life Sciences Construction / Real Estate Consulting Cybersecurity/Security Data & Analytics Design/UX E-commerce/Consumer Education Energy Entertainment Fashion/Beauty Fintech Food/Beverage Gaming/E-Sports Government Health/Medical Human Resources Insurance Law Enforcement Legal Tech Logistics Manufacturing Not for Profit Publishing/Content Creation Productivity Robotics Smart Cities Social Impact Social Networking Sports Sustainability and Cleantech Telecommunication Travel/Hospitality Other What is your startups main technology? AI/Machine Learning Blockchain Chatbot Hardware/Wearable Internet of Things (IoT) Mobile App Marketplace Voip AR/VR Website Platform Other What stage is your product/service at? Idea Prototype/Beta-testing Launched Launched with traction and customers Focused on scaling company (entering new markets, significant team growth, etc.)
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What is your business model? B2B B2C Other
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Please describe how you monetize.
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Please report monthly revenue in $ using only whole numbers (for example for $100k enter "100000").
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Please choose an absolute number. If you have zero users select "0". If you have 100 users select "100"
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ie: to enter new markets new product development hire
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Please tell us what problem your company is trying to solve and how you intend to solve it. Please limit your answers to 400 characters.
What challenges or opportunities are you hoping to address through the program?

Select up to 3 options.

TECH: Architecture TECH: Development TECH: Machine Learning TECH: Performance TECH: Security TECH: Data PRODUCT: Development PRODUCT: Management PRODUCT: Privacy DESIGN: Visual/Interface Design DESIGN: UX/Interaction Design DESIGN: Prototyping DESIGN: Research/Testing DESIGN: Emerging Technology PEOPLE: KPIs/OKRs PEOPLE: Operations PEOPLE: Management PEOPLE: Development PEOPLE: Hiring GROWTH: Fundraising GROWTH: Business Development - Sales GROWTH: Business Development - Partnerships GROWTH: Marketing - Brand GROWTH: Marketing
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Please insert a link to your video in the text field. This is your time to shine! Don't worry about production quality just make sure we can see and hear you and the video doesn't exceed 2 minutes.

Funding & Investment

Has your startup raised funding from any of the following sources?

Mark all that apply.

Venture capital Angel investors Bank loan Crowdfunding Friends and family Government program Self-financed/bootstrap We have not raised capital Other
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Please report funding raised in USD as a whole number without commas currency symbols or periods.
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Market

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Google for Startups

Which of the following Google products if any does your startup currently use?

Please select 'not applicable' if you don't currently use any Google products

Accelerated Mobile Pages (AMP) AdMob AdSense Analytics Android Android Wear Data Studio Firebase Flutter Google Ads Google Assistant Google Cloud Platform Google Developers Tools Google My Business Google Pay Google Marketing Platform GSuite Maps Progressive Web Apps (PWA) TensorFlow Other ML/AI tools Waze YouTube - Ads and Monetization YouTube - Content Other Not Applicable
To what extent do you agree: Google for Startups helps startups grow

Response to the following question will have no impact on your application for this program and are completely optional.

Strongly Agree Agree Neither agree nor disagree Disagree Strongly Disagree
Which statement best reflects your overall opinion and perceptions towards Google for Startups?

Response to the following question will have no impact on your application for this program and are completely optional.

Speak highly without being asked Speak highly if someone asked me Neutral opinion - see both positives and negatives Critical if someone asked me Critical without being asked Don’t know enough to have a strong opinion
To what extent do you agree: Google for Startups is a diverse and inclusive environment

Response to the following question will have no impact on your application for this program and are completely optional.

Strongly Agree Agree Neither agree nor disagree Disagree Strongly Disagree

Additional Information

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i.e.: on-boarded any major clients significant user growth or won any awards
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Please limit your answer to 300 characters.
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How did you hear about this program? GFS Campus Newsletter GFS Campus Website Social media (Facebook, Twitter, Instagram, etc.) Press Referred by someone
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Please provide name and email address for the person who referred your startup.
By submitting this form, you acknowledge that Google for Startups (GFS) is part of Google and the Google Privacy Policy sets out how GFS handles your data. If you would like to amend or delete any of your responses, or if you would like a copy of your data, please email us at gfsprivacy@google.com. You agree that for each question where we have stated specifically why we collect that data and how we use it, you have read each statement and agree to our use of your submitted data as described. You can revoke that consent at any time by emailing us at gfsprivacy@google.com.
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See details OK, got it