Start-Up Visa 5 (1).png
Your Name *
Your Name
Phone Number *
Phone Number
Is your company a non-profit or social enterprise?
Is your company technology-based? *
Have you completed a prerequisite accelerator program in the past? *
If yes, which program have you completed?
Only complete if answer to previous question was "Yes".
Please include the title and a description of the program, the location where it is delivered, and a link to more information on the program
Include your elevator pitch here if you have one.
Does your company have an MVP (Minimal Viable Product)? *
How did you hear about the Start-up Visa Program? *
Consent and Submit *
I agree that all statements made in this application are true to the best of my knowledge. Information held within maybe be shared on a confidential basis with Genesis staff and board who are bound by confidentiality and non-disclosure agreements. This information will be used to evaluate your fit within the Genesis framework and all programs and contests.