Welcome to the Primera Impact application page
This form cannot be saved. You can access all of our application questions in a downloadable form on our FAQ page. We encourage you to take a look in advance of filling this form out and submitting.
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Section 1 - Eligibility

 
Do all of the following apply to you? *

1 - Tackling a global challenge affecting health, energy, the environment, or agriculture
2 - For-profit
3 - Raised no more than £1,000,000 in direct total investments*
     
 
Unfortunately, you are not eligible for this open application.

However, if you feel your idea has potential for large-scale positive impact, please feel free to drop us a line with what you do: apply@primeraimpact.com.
 
You are eligible! Please continue to the application questions

 
Section 2 - Basic Information

 
What is your name? *

 
and your telephone number (with country code) *

 
What is the name of your start-up, {{answer_FDtlp4SibTtI}}? *

 
And your website URL?

If not, please leave blank.
 
Where are you located? *

If more than 1 location, please list locations and include your primary location
 
Describe your business in 50 words or fewer *

We want to hear your 1-sentence elevator pitch.
 
In a video, introduce your team in 1 minute or less *

This is NOT intended to be production quality; phone footage is appropriate.
Use a public Youtube/Vimeo URL only. Do not password protect, but unlisted/non-public is alright.
 
How long have you been working on this? *


 
Section 3 - Idea and Impact

 
What is the problem you are trying to solve? *

Please include how you know this problem exists.
 
What is your solution? *

What is the product or service you are developing to solve the problem you articulated?
 
How is your solution novel? *

Please include any unique innovation or technology behind your idea.
 
Briefly, what are your major achievements to date?

 
How will you generate and monitor impact? *

To us, impact is a positive, lasting, and relevant change on the lives of people.
 
What is your long-term vision? *

What will your business look like in 10 years? Beyond an exit, what new thing will exist because of you?
 
Section 4 - Team

 
How many people are on the team (including you) *











 
List all the members of the team, their roles, their commitment levels (e.g. part-time, full-time), and their equity. *

Please include LinkedIn links if you have them.
 
Why is your team uniquely positioned to solve this problem? *

Why is the skill set of your team well suited to the problem? How much domain experience do you have?
 
Section 5 - Business Plan

 
What stage is your business?

If none of the below is an accurate description, please pick the closest fit.

 
Do you have any product demonstrations you can share?

This could be a CAD image, photographs, and/or videos of prototypes or products.
 
What market(s) are you considering and what is your route to it (them)? *

 
Who are your competitors? *

Please also include possible future competitors.
 
What differentiates you from your competitors? *

What is your USP?
 
What are your current risks and future challenges? *

Please also include what you're most worried about.
 
Have you won or raised any external funding to date?


 
Detail funding sources here. *

Start the answer with the total amount raised.

For each source, include: the source, date, amount (local currency amount and GBP equivalent), and conditions (e.g. equity relinquished).
 
What is your current monthly expenditure? *

Include in local currency and GBP equivalent.
 
Briefly detail any major company expenditures to date.

 
Do you have any revenue? *

     
 
Briefly detail it here

Include (local currency amount and GBP equivalent), sources and customer/user growth.
 
Do you have any significant partners or collaborations? *

Basically, are you affiliated with any other organizations?
     
 
Detail your partners here.

 
Have you been through an incubator/accelerator programme? *

     
 
Detail the programme(s) you attended here.

 
Have you filed or secured any intellectual property? *

     
 
Detail your intellectual property here

Include stage, filing date, details of invention, fees and regions covered
 
Is there anything else you'd like to let us know?

Please keep your response limited to 750 characters.
 
Lastly, how did you hear about us?


 
Who referred you? *

And what organisation do they represent, if any?
Thank you for your application! We will review your application and get back to you shortly.

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