LIFT Application Form - The Center for Black Entrepreneurship

LIFT Program

Thank you for your interest in LIFT, an acceleration program for Atlanta-based tech startups. We are excited to learn more about your startup and explore how we can support your growth. Please complete the following application form with as much detail as possible.

"*" indicates required fields

Basic Information

Startup Name*

Founder(s) Name(s)*

Contact Email*

Contact Phone Number*

Website (if available)

LinkedIn Profile(s) of Founding Team

Please provide additional information about the founding team: (Check all that apply)*

The founding team is 50%+ BIPOC

The founding team is 50%+ Women

The founding team is 50%+ LBQTIA

The founding team is 50%+ Veteran

The founding team is 50%+ Disabled

About Your Startup

Is your Startup a registered Atlanta business?*

Current Business Zip Code*

Do you have a prototype/Minimum Viable Product?*

Your primary competitive advantage is your:*

What is your startup industry?*

What is your current customer traction?*

What is your current revenue to-date?*

How much investment Capital have you raised?*

Startup Self-Assessment

Please indicate your agreement with the following statements using a 1 – 4 (where 4 is strongly agree):

Our team can build the product and have knowledge of the value chain

1	2	3	4

We have evidence we are solving our customers problems

1	2	3	4

We have evidence that customers will pay our target price

1	2	3	4

We have built a working prototype and have a product road map

1	2	3	4

Initial sales provide evidence that we can capture our target market

1	2	3	4

We can articulate the cost structure and unit economics in our industry

1	2	3	4

We have a strategy to scale to multiple markets

1	2	3	4

Elevator Pitch

Elevator Pitch (Describe your startup in one sentence)*

Problem Statement (What problem are you solving?)*

Solution (How does your product/service solve the problem?)*

Market Opportunity (Who is your target market? What is the size of the market?)*

Revenue Model (How do you plan to make money?)*

Competitive Landscape (Who are your main competitors?)*

Additional Information (Optional but suggested)

Upload Pitch Deck

Drop files here or

Accepted file types: doc, docx, ppt, pptx, pdf, jpg, png, Max. file size: 100 MB, Max. files: 1.

Upload Pitch Video (2 minutes or less, must show founders – do not upload promotional videos)

Drop files here or

Accepted file types: mov, mp4, wmv, m4p, m4v, mpg, mpeg, m2v, Max. file size: 500 MB, Max. files: 1.

Upload Financial Statements

Please include as many financial statements as available, such as 2023 P&L by month or quarter, 2024 YTD P&L, projections for full year 2024 P&L, balance sheet, and cash flow statement. All statements should be in a single file. If you're uploading an Excel file, have separate tabs for each statement.

Drop files here or

Accepted file types: xls, xlsx, doc, docx, ppt, pptx, pdf, Max. file size: 50 MB, Max. files: 1.

Declaration

I confirm that the information provided in this application is accurate and true. I understand that any false information may lead to the disqualification of my startup from the selection process. Additionally, I understand that the LIFT program will require that I apply for an Atlanta business license.

eSignature*