Application for 2023 Conference

Deadline: July 28th^th, 2023

Venture Atlanta serves as a platform for companies located in the greater Southeast as noted by the 13 states below. If your company is completely virtual you must have some affiliation with one of these states in order to participate.
Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Maryland, North Carolina, South Carolina, Mississippi, Tennessee, Texas, Virginia, Washington DC.

General Info

* Name of Company

Corporate Headquarters (Or, If Distributed, City /State Where Founder Resides)

* City

* State

* What type of capital are you looking to raise? (now or in the next 12-18 months)

These are guidelines. Pick the one that most accurately describes the stage of your business. We understand every point may not be met for each category.

Growth-Stage: Generally speaking, companies that are generating $3M+ in revenue run-rate, have already raised at least $5M in external capital, and are looking to raise $10M+ in the next 12-18 months.

Early-Stage Venture: Generally speaking, companies that are generating $500k - $3M in revenue run-rate, have raised <$5M in external capital, and are seeking to raise $2M - $10M in the next 12-18 months.

Seed-Stage Showcase: Generally speaking, companies that are generating less than $500K in revenue run-rate, have raised <$1M in external capital, and are seeking to raise $2M or less in the next 12-18 months.

* Name of CEO / Founder

* What is your background, and why did you start the company? (750 character limit)

* Have you had any prior exits as a founder? If so, please describe (300 character limit)

* Email Address of CEO / Founder

* Phone Number of CEO / Founder

LinkedIn of CEO / Founder, if applicable

Name of Other Founder(s) (if applicable)

add +

LinkedIn URLs of Founders

add +

Additional Email address for contact at company

add +

* Corporate Website

Company Twitter Account (if applicable)

* Have you been selected for Venture Atlanta previously?

Yes No
If yes: What year were you selected, and what stage (for example, showcase)

Company Overview

* Year Founded

* Industry

* Short description of the problem you are solving (< 500 characters)

* Description of the Solution (< 500 characters)

* What is your differentiation? (< 500 characters)

* Please describe your target market, estimate of potential market size, and market growth rate (<300 characters)

* Please describe the competitive environment (<500 characters)

* Total Amount of Equity Capital Raised (including SAFEs & Notes) to Date (use gross dollars, and not $000s)

* Valuation your last round was raised at (use the cap if a note or safe)

* Current Monthly Net Cash Burn (as of the date of the application)

* Current Monthly Runway (as of the date of the application)

* Amount of Financing Sought in the Next 12 Months (use gross dollars, and not $000s)

* Existing Investors

* Number of Full Time Employees

* Number of Part-time Employees

* Are you associated with an Incubator/Accelerator?

Yes No

* Names of Key Advisors (board members, advisors, mentors)

add +

Financial Information

* Please Summarize your Commercial Traction including highlighting key customers (<500 characters). If you believe revenue is currently not a good KPI for your business, please use this section to explain.

* Please list actual or forecasted revenue for each of the following years. This is net revenue for the full calendar year under generally accepted accounting principles (GAAP). Do not use bookings, cash received, run rate, annualized revenue, or any other non-GAAP measurement.

- Note 1: Please use gross dollars (as opposed to “000s” or “$mm”)
- Note 2: If your company has a business model similar to a marketplace business or payment processing business, please use net revenue as opposed to Gross Market Value or Gross Transaction Volume

2021 (A): [Field Only Permits Numbers, no letters]
2022 (A): [Field Only Permits Numbers, no letters]
2023 (F): [Field Only Permits Numbers, no letters]
2024 (F): [Field Only Permits Numbers, no letters]

* What is your basic revenue model (i.e. subscription, services, one-time, usage-based) (<300 characters)

* What are your current gross margins?

* Please list forecasted EBITDA for each of the following years.

2022 (A): [Field Only Permits Numbers, no letters]
2023 (F): [Field Only Permits Numbers, no letters]

Note: Please use gross dollars (as opposed to "000s" or "$mm")

* Please list your actual or forecasted annual recurring revenue (monthly recurring revenue x 12) for the following time periods:

12/31/2022 (A): [Field Only Permits Numbers, no letters]
5/31/2023 (A): [Field Only Permits Numbers, no letters]
12/31/2023 (F): [Field Only Permits Numbers, no letters]

Note: Please use gross dollars (as opposed to "000s" or "$mm")

Demographic Information

Venture Atlanta is committed to supporting a diverse group of entrepreneurs and founders. Participation in this section is optional; simply select “prefer not to disclose” when appropriate. This will in no way negatively impact your relationship with Venture Atlanta, or your chances of being selected to participate in the conference.

Venture Atlanta does not discriminate on the basis of age, disability, ethnicity, gender, gender expression, gender identity, marital status, national origin (ancestry), race, religion (creed), sex, or sexual orientation.

Race/Ethnicity

Gender Identity

* Do you identify as part of any other underrepresented group?

Yes No Prefer not to disclose

Other Information

* Name of Corporate Attorney & Firm

* Name of CPA Firm

* Name of Bank

* Where did you hear about Venture Atlanta?

* Please Upload Your Company’s Logo as a .jpeg, .eps or .png file

* Please Upload Your CEO / Founder’s headshot as a .jpeg, .eps or .png file

Please Enter the URL of a One Minute Unlisted (Not Private) YouTube Video of the CEO/Founder Describing the Company (this is optional, but highly encouraged)

I acknowledge that if my company is chosen to present at Venture Atlanta 2023, I will adhere to the guidelines/standards set forth by Venture Atlanta. These guidelines/standards include: attend company coaching, turn in materials in timeline given, one company rep to attend the VIP Sponsor / Company Luncheon on day 1 of the conference, and CEO or Co-Founder to attend the investor dinner. Those companies who cannot agree to these terms, need not apply.

Check to Agree

Application for 2023 Conference

Thank you!

Thank you!