Application Process - Designers & Developers Membership

HELP US GET TO KNOW YOUR COMPANY

Company Name (if applicable)

Please provide a link to your website or portfolio (if applicable)

When did you start the company/product? (MM/YYYY)

What country is your company headquartered in?

What state is your company headquartered in?

What city is your company headquartered in?

How would you describe your current entrepreneurial stage?

EXPLORE: I have an idea or couple of ideas to explore and want to make sure their idea is worth pursuing before investing time and capital into it
BUILD: I have a well-defined vision for their first iteration of my product based on in-depth research and discovery tactics and want to build a foundation for building, testing, and learning to become a data-driven business with a clear path to economic viability
LAUNCH: I have a product is in customers hands as well as data-driven proof of early indications of product/market fit and want to remove assumptions from their business and build a scalable operations infrastructure to grow rapidly

What industry best describes your market?

FinTech, financial services
HRTech, Human Capital, Future of Work
EdTech
HealthCare, MedTech, Pharma, Wellness
RealEstate Tech
Business Products & Services (industry agnostic)
FoodTech, Food & Bev Products
SmartCities & Government Services & Construction
Logistics, Supply Chain, Transportation, Mobility
InsureTech
E-Commerce, Brand, RetailTech (including fashion, interior design, etc)
Travel, Luxury, Hospitality
Energy & Sustainability
Cybersecurity
Materials
Social Media & Consumer Apps
AdTech, PR, Digital Marketing Solutions, Media
Sports & Entertainment
Social Impact

Select all that apply

Please provide a 3-5 sentence description of your solution or idea

Who is your customer and what problem do you solve for them?

How have you validated this problem so far?

What is your unique insight, approach, or advantage and why is your solution or customer acquisition strategy superior to your competitors?

Describe how you currently or plan to earn revenue?

How much revenue do you earn per month? (Confidential)

Pre-revenue
$0-$999/month
$1000-$9999/month
$10,000-$49,999/month
$50,000 or more /month

Have you raised funding?

Yes
No
Not Applicable

If you have raised funding, how much have you raised? (Confidential)

Funding Type

Self-funded/Bootstrapped
Family and Friends
Angel Investors
Venture Capital
Awards/Grants
Other
None of the above

Select all that apply

Number of full-time employees

Just me!
1 - 2
3 - 5
5+

Are you planning on providing any additional team members with an 1871 membership? (if applicable)

Yes
No, it's just me!

HELP US GET TO KNOW YOU

First Name

Last Name

Email Please enter an unique e-mail address for this person.

What is your date of birth? Please provide your answer in the MM/DD/YYYY format.

Current Country of Residence

Current State of Residence

Current City of Residence

Current zipcode

Please provide your LinkedIn URL

Are you the founder?

Yes, I'm a solo founder
Yes, I'm a co-founder
Yes, but I'm a corporate member/partner (intrapreneur)
No

What is your title?

How did you hear about 1871?

I am a member of a partner organization (see list of partners in the next question)
I’ve attended an event at 1871
1871 reached out to me
I’m a former 1871 member
I was recruited by a partner organization (see list of partners in the next question)
Referral from a member or mentor
Google
Blog
Instagram
Twitter
LinkedIn
Facebook
Other

** Select all that apply **

Are you a member of or were you recruited by any of these 1871 partners?

Build Bronzeville
Catapult
City Colleges
Economic Strategies Development Corp (18th Street)
Fifth Star Liason
Hub88
Illinois Hispanic Chamber of Commerce
Foundation of Little Village
MATTER
mHub
Onward Neighborhood House
Pima Community College
Polsky Center for Entrepreneurship and Innovation
TechBridge
The Chicago Connectory
Urban Junction Foundation
West Ridge Chamber of Commerce
None of the above

** Select all that apply **

Are you a current student, faculty member or alumni of any of the following university institutions?

DePaul University
Northwestern University
The University of Chicago
Trinity Christian College
University of Illinois Urbana Champaign (UIUC)
University of Illinois at Chicago (UIC)
University of Illinois Springfield (UIS)
None of the above

** Select all that apply **

CHOOSE YOUR EXPERIENCE

What type of access do you want to 1871?

Virtual (Online only access to 1871 resources)
Open Desk (Full-time 24/7 access to communal space all 1871 resources virtual and in-person)
Dedicated Desk (Full-time 24/7 access to a dedicated desk and communal space all 1871 resources virtual and in-person)

1871 has diversity scholarships available to dedicated founders in need of financial assistance. If you are interested in this support please opt in below.

Yes
No

** This option is intended to support founders of color, female founders and founders with visible and invisible disabilities **

1871’s affinity programs are included in your membership and provide specialized content and opportunities for underrepresented founders. If you opt in below an 1871 representative will follow up with you shortly to determine your eligibility.

Are you interested in participating in any of the following affinity programs?

WMNtech Founders: For women-identifying founders with a company at any stage of development
LTNtech Founders: For Latino(a)/Hispanic/etc. founders with a company at any stage of development
BLKtech Founders: For Black founders with a company at any stage of development
I am not interested in joining an affinity program

You must meet the necessary qualifications to participate

HELP US HELP YOU

Have you attended an 1871 Early Stage Info Session?

Yes
No

What are your biggest hurdles right now?

Validating my idea
Understanding the steps necessary to build a startup
Developing the product/tech support
Access to mentors
Understanding the market
Developing a launch or marketing strategy
Finding capital and/or investors
Defining or refining the business and revenue model
Hire additional team members or finding co-founders
Build a personal network and connect with other entrepreneurs
Access to customers or strategic partners
Office space to collaborate or get work done
Other

Help us better understand what you selected above. What biggest hurdle(s) keep you up at night? Where do you think 1871 can add the most value?