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VC Catalyst application
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Step
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6
– Begin application
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Title
First name
*
Last name
*
Email address
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Address (business address preferred)
*
Address (line 2)
City/Town
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State
*
VIC
NSW
QLD
SA
ACT
WA
NT
Other
Postal code
*
Country
*
Country of citizenship
*
Mobile phone number
*
Business phone number (optional)
Select an age range
*
(select one)
18-24
25-34
35-44
45-54
55-64
65-74
75+
What gender do you identify as?
*
(select one)
Female
Male
Other
Prefer not to say
What is your highest educational qualification?
*
(select one)
High School
Diploma
Bachelors
Postgraduate
PhD
Other
What University did you graduate from? (optional)
Name of your organisation
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What type of organisation is it?
*
Public
Private
Government
Nonprofit
Other
What is your industry?
*
(select one)
Accounting
Advertising/Marketing/PR Aerospace/Aviation
Agriculture
Angel Investor
Banking
Biotechnology/Pharmaceuticals
Consulting
Consumer Products/Retail
Education
Energy/Utilities
Engineering, Entertainment/Hospitality/Leisure Environment
Family Office
Financial Services
Government
Health Care/Health Services
Human Resources/Recruiting
IT/Computers
Media/Publishing
Real Estate/Development Technology/Telecom Transportation/Logistics
Law
Manufacturing
Military/Defence Contractor
Mining
Nonprofit
Professional Services
VC
Number of employees
*
(select one)
Under 10
10-50
50-100
100-1,000
1,000-10,000
Over 10,000
What is your position/role title?
*
What are your primary responsibilities within your organisation?
*
What type of investor are you?
*
(select one)
Corporate Venturing Team Member
Current Angel Investor
Emerging and Future Venture Fund Manager
Family Office Investment Manager
High Net Worth Individual
Personal Investment
Potential Angel investor
Representing an Accelerator
Representing a Corporate
Representing a Family Office
Representing Government
Representing a Venture Fund
Other
What are your present areas of investment interest?
*
How many investments have you executed?
*
(select one)
0
1-5
5-10
10-15
15+
What is your projected venture capital investment budget for the next 2 years?
*
(select one)
Less than $100k
$100k to $250k
$250k to $500k
$500k to $1m
$1m to $3m
$3m to $5m
$5m to $10m
$10m+
Please share a few details of your previous investment activity.
*
Why are you interested in this program?
*
What goals do you hope to achieve as a result of attending VC Catalyst?
*
What particular strengths will you bring to VC Catalyst?
*
Payment information will be sent to successful participants at the email address provided on this application. Please choose:
*
Send invoice to another individual/organisation (if other than applicant)
Send invoice to me
Invoice contact name
*
Position title
*
Organisation
*
Email address
*
Billing address (if known)
Billing address (if known) – Address
Billing address (if known) – City
Billing address (if known) – State
Billing address (if known) – Postcode
Billing address (if known) – Country
Do you wish to apply for a VC Catalyst Scholarship?
*
Yes
No
Which scholarship are you applying for?
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Diversity Scholarship
AgTech Scholarship
How to apply
*
Merit will be awarded to participants who have shown an active commitment to diversity and inclusion and will use their attendance in the program to promote and support a more diverse investment landscape.
Please address the following criteria in 300-500 words:
1. How will your participation in VC Catalyst contribute to the diversity of the cohort?
2. How will you contribute to creating a more diverse and inclusive startup and investment ecosystem in Victoria?
3. What evidence do you have of your commitment to ensuring diversity and inclusion within your organisation, community, startup or investor ecosystem?
How to apply
*
We expect investors will have the following: 1. Have you invested in start ups before or explain why you are interested investing in this early-stage asset class. 2. Briefly outline your AgTech experience. 3. Do you have sophisticated investor status or are you able to invest into AgTech startups (please outline how)? 4. What is your residential postcode?
How did you find out about VC Catalyst?
*
(select one)
Referral
Social media
Wade Institute website
Newspaper/magazine article
Google
Startup Victoria
Event
LaunchVic
Referred by:
*
Is there anything else you would like us to know about you or your application? (optional)
VC Catalyst Disclaimer
The information and advice provided during the VC Catalyst program are for general informational and education purposes only and should not be construed as financial advice. The opinions expressed by guest speakers are their own and do not necessarily reflect the views or opinions of the VC Catalyst program, its organisers, or affiliated entities. Investing in financial markets involves risks, and individuals should carefully consider their financial situation and consult with a qualified financial advisor before making any investment decisions. The VC Catalyst program does not guarantee the accuracy, completeness, or suitability of the information provided during its sessions. Participants in the VC Catalyst program are encouraged to conduct their own research and seek independent financial advice tailored to their specific circumstances before making any investment decisions. The VC Catalyst program and its organisers disclaim any responsibility for actions taken based on the information and advice provided during the program. It is important to note that the financial landscape is subject to change, and past performance is not indicative of future results. The VC Catalyst program is an educational platform, and participants should exercise caution and due diligence when applying any insights or recommendations discussed during the program. By participating in the VC Catalyst program, attendees acknowledge and agree that the information and advice provided are not a substitute for professional financial advice, and they should seek guidance from qualified professionals for their specific financial needs and goals. Prepared: January 2024
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