Application Form - Wharton Alumni Business Plan Competition
Name: 


A red asterisk (*) indicates required questions.

  1. Email Address*


  1. Confirm Email Address*


  1. Name (or contemplated name) of Company:*


  1. General description of the basic idea – the product or service, and the problem/need it’s designed to serve (100 words):*


  1. Industry you consider company to be in:*


  1. Names of team members, their titles/roles, and email and phone# (please indicate and add program and year of graduation if Wharton alumni)*


  1. Estimated number of employees at 12/31/2009*


  1. Estimated revenues of company in calendar 2009:*


  1. Estimated revenues for 4th quarter, 2009:*


  1. Total amount of invested capital:*


  1. Total amount of equity:*


  1. Please describe the timing and source of equity (e.g., team itself, angels, venture capital, etc.):*


  1. Total amount debt:*


  1. Please describe timing and source of debt (e.g., team, investors, bank, etc.):*





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