New Client Intake Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are you currently enrolled as a student?

YesNo

If yes, where are you enrolled?

Company Name

Company Website

Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Company Social Media Platforms

1. Who is your co-founder?

2. What will your company make or do?

3. How far along are you in your business?

4. Do you have revenue?

5. What is your greatest strength that will benefit your business?

6. What is your greatest weakness that could limit your business?

7. What motivates you to create this business?

8. What are your goals for this business?

9. How did you come up with this idea?

10. Do you have experience in this area?

11. How do you know people need what you will provide?

12. What's new about what you're making or doing?

13. What substitutes do people resort to because it doesn't exist yet (or they don't know about it)?

14. Who are your competitors, and who might become competitors?

15. What do you fear most about starting your business?

16. What do you understand about your business that similar businesses just don't understand?

1. Are any of the founders covered by non-compete or intellectual property agreements that overlap with the company you’ve listed above? If so, please explain.

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

3. Is there anything else we should know about your company? (Pending lawsuits, co-founders who have left, etc.)

Please verify you are human.*

New Client Intake Form

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Legal