VC Catalyst application

Title

First name*

Last name*

Email address*

Address (business address preferred)*

Address (line 2)

City/Town*

Postal code*

Country*

Country of citizenship*

Mobile phone number*

Business phone number (optional)

Select an age range*

What gender do you identify as?*

What is your highest educational qualification?*

What University did you graduate from? (optional)

Name of your organisation*

What type of organisation is it?*

What is your industry?*

Number of employees*

What is your position/role title?*

What are your primary responsibilities within your organisation?*

What type of investor are you?*

What are your present areas of investment interest?*

How many investments have you executed?*

What is your projected venture capital investment budget for the next 2 years?*

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 Diversity Scholarship?*

Yes

No

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 did you find out about VC Catalyst?*

Referred by:*

Is there anything else you would like us to know about you or your application? (optional)

Please confirm you have read and agree to our privacy policy:*

Yes, I agree to the privacy policy

Please confirm you have read our policies related to payment, cancellation and deferral:*

Yes, I agree to the payment terms and conditions, cancellation and deferral policies

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