Accelerate Application

Please complete the application form below. Your answers will be saved as you respond to each question so forms can be continued in this browser at another time.

Applicant First Name

Applicant Last Name

Email address of the founder who is filling out this application:

Phone number(s)

Please provide the names and email addresses of the other cofounders in the startup

Are any members of the founding team underrepresented founders (e.g. minority, female, non-binary)? If so, please indicate here.

Please enter the url of an unlisted (not private) three-minute pitch.
This video is an important part of the application.

Company Name

Company Website

Company AngelList URL (if available)

Company CrunchBase URL (if available)

Describe your company in 25 words or less.
This description will be shared with the panel in the review process.

What is the long-term vision of your company?
(100 words maximum)

Most Recent Investor Deck
(Include a link to a document.)

Company Stage
Idea PhaseBuilding Proof of Concept NowAlpha/Beta Ready but Not LaunchedPilots or initial Trials StartedAt Revenue

Please describe your product and what it does or will do.

If you have a demo, what is the url?
Demo can be anything that shows us how the product works. Usually that’s a video or screen recording.

What type of data does your model use?
Select all that apply
ImagesTextVideoOmicsOther

If you selected Imaging data, can you specify, what type of imaging data does your model require?
Select all that apply
X-RaysCT-scansUltrasoundsDEXAOther

Will the FDA regulate your technology/product?
If so, will you be classified as Therapeutics, Diagnostics or Med Device?
NoYes, TherapeuticsYes, Diagnostics (compound)Yes, Diagnostics (device)Yes, Diagnostics (other)Yes, Med Device (implantable)Yes, Med Device (instrument)Yes, Med Device (other)N/A

Why did you pick this idea to work on? Do you have domain expertise in this area? How do you know people need what you’re making?

What’s new about what you’re making? What substitutes do people resort to because it doesn’t exist yet (or they don’t know about it)?

Who are your competitors, and who might become competitors? Who do you fear most?

What do you understand about your business that other companies in it just don’t get?

How long has this company been working on this product/idea?
This dates back to the first work done by any founder on this startup.
Less than 1 month1-3 months3-6 months6-12 months1-3 years3+ years

What type of customer do you primarily target?
2-sided marketB2BB2CD2CFDA Clinical

In prioritized order, what are the next 3 addressable risks to your company?

What future trend, technology or market conditions make it the right time to build this company? How does your product tap into this trend?

How proficient is your data science team with the Google Cloud Platform?
(1=Not at All; 10=Very Proficient)

How proficient is your data science team with:
(1=Not at All; 10=Very Proficient)

Big Query

AutoML

Jupyter Notebooks

Python

R

Linux Commands

How long have each of you been working on this? How much of that has been full-time?
Please explain.

Do you have revenue? What is the total revenue for the company to date earned through your business?
(not fundraising)

What are the top 3 milestones the company has achieved in product and customer development and how long did it take to reach them?
This includes need-finding, stage of prototype/product, pilots, launch, and IP creation. Provide specific numerical achievements. Examples: Spoke with 100 potential customers, Phase 2 clinical trials.

How many active users does the company have to date?

How many paying customers does the company have to date?

Any clarifications on the values of active users or paying customers above?

What fundraising stage is your company in?
Pre FundingFriends and familyRaised Seed/AngelRaised ARaised BRaised C

Are you actively fundraising?
YesNo

Have you raised money?
YesNo

If yes, when did you get funded?
(Please specify for each round, if more than one.)

If yes, how much have you fundraised from professional investors (VCs and angels)?
(Please enter as numerical value in dollars)

If yes, from which professional investors have you fundraised?
(Please list professional investors (e.g., VCs and angels).)

If yes, how much have you fundraised from friends and family?
(Please enter as numerical value in dollars.)

If yes, how much have you fundraised from other sources?

If yes, from what other sources have you fundraised?

If yes, what series of funding was your last round?
Pre-seedSeedSeries ASeries bSeries C+

Are any of the founders covered by noncompetes or intellectual property agreements that overlap with your project?
If so, please explain.

Who writes code, or does other technical work on your product? Was any of it done by a non-founder?
Please explain.

Have you received any government grants?

Is there anything else we should know about your company?

How did you hear about MCP Accelerate?
(check all that apply)
Investor or VCInternet SearchMedia StorySocial MediaAngel ListConference or Event

What milestone(s) does your company plan to achieve after graduating from this program?

Is there anything else that you would like to tell us?

Include 2 References (Names and Contact Information)

Do you know any members of the Mayo Clinic community?
If so, please list the two people you know best for our reference.