membership application

Name*

First Last

Email*

Phone*

Location*

City State / Province / Region

Tell us a little about your company

Company Name*

Please give us a brief description of your company*

Why do you think you qualify as "high growth"?*

What is the current stage of your startup?*

Seed & Development: Business Idea & testing with potential customers
Startup: You have thoroughly tested your business idea, you have first customers & are refining your product or service
Growth & Establishment: Generating consistent source of income and regularly taking new customers. Managing growth and dividing time as you identify and hire a solid team
Expansion: Staff is in place to handle areas you no longer have time to manage and your firm has established its place in the industry
Maturity & Possible Exit: Stable profits. Continue growing/maintaining business or exit

What is your company's URL?*

How long has your company been in business?*

How many employees do you have (if any)?*

How have you funded your company thus far?*

What are three areas in which you are seeking guidance?*

How much funding have you received to this point?*

Where is your business physically located?*

Which membership are you applying for?*

Open Workspace - Individual Member - $250/mo
Small Office - $800/mo
Medium Office - $1200/mo
Large Office - $1600/mo
Out-of Town Member - $150/mo (outside of the Greater Richmond Metropolitan Area)

What is your desired start date?*

How did you hear about Startup Virginia?

Do you have any form of a business plan? If so, attach here:

Drop files here or