2024-25 Cohort ApplicationComplete the form below to apply for our upcoming Amplify Cohort. Name * First Name Last Name Email * Phone * (###) ### #### Current address Address 1 Address 2 City State/Province Zip/Postal Code Country LinkedIn http:// Age Gender Male Female How did you hear about Amplify? LinkedIn Event Social Media National Christian Foundation of South Florida Personal Refernece Website Other What is the role of faith in your life and in your business? Name of business Company website http:// Please provide a brief description of your business and the market you are serving. Industry Number of employees Year launched Number of customers Current stage Currently ideating Product (MVP) being developed Product (MVP) ready for testing Beta testing with customers Currently live in market with some traction Obtained product market fit and steady revenue growth Annual revenue last year Revenue projection for current year Please provide a brief description of your revenue model. We are aiming to help build "redemptive" Christian-led businesses that are purpose-driven, innovative, sustainable, and generous. We seek to support founders and companies that have a commitment to excellence, have achieved (or are approaching) product-market-fit and have a scalable vision and model. Please tell us how your business is or could be redemptive and a good fit for this program. Please tell us the 2-3 biggest milestones you have accomplished. Please tell us the 2-3 biggest obstacles or challenges you are facing. References Please provide available references to support your application. Reference 1 Name Email Phone (###) ### #### Reference 2 Name First Name Last Name Email Phone (###) ### #### Are you a full-time founder 100% dedicated to this venture? Yes No If not a full-time founder, please indicate any other roles/ventures you are currently involved in. Current equity contributors (if any) Please share number of co-founders, number of investors, and/or capital raised/invested to date Tell us about your ownership structure Please describe in detail the business funding needs over next 12-18 months. Please explain how you would use funds, if needed, to achieve targeted milestones. How do you intend to fund the $3,500 all-inclusive program fee? Pre-pay in full (business or personal) 3-month installment to be completed by December 31, 2024 Apply for partial scholarship (additional details may be required). Acknowledgement: All information in this form will be used to evaluate candidacy for the next Amplify cohort. It is understood that the information provided in this form is accurate and truthful and provided in good faith. The review of this application may require additional discussion and clarification. Interviews and subsequent discussions may be required to complete the application process. As this is a competitive program, there is no guarantee of acceptance into the cohort. Agreement Check this button if you agree Thank you for applying to the Amplify 2024-25 Cohort! One of our team members will be in touch.
