2. Pitch your Startup in 7 words * Avoid slogans / Use Keywords. Ex (based on Slack:) "Team communication tool with persistent chat rooms".

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1 Startup Information Important: You need to complete each question of the form and then click the "Save & Continue" button in order to save your answers. Tip: If you are not sure of the definitive answer yet, you can always fill in a placeholder and return later to modify. 1. Startup Name * 2. Pitch your Startup in 7 words * Avoid slogans / Use Keywords. Ex (based on Slack:) "Team communication tool with persistent chat rooms". 3. Public Description * Will be published upon acceptance to the program. 4. Industry * 5. Industry (Optional) 6. Product Type * Software Physical Product (Hardware) Physical Product (non Hardware) Service 7. Online video pitch, please put URL here * Pitch us in 2 minutes or less. Please answer these 4 questions: What is your startup idea? Show a prototype/mockup if necessary. How did you detected an opportunity? What problem you want to solve? Why your skills and your team s skills are important to the startup? Why you will be a terrific startup female founder? Provide the YouTube or Vimeo link and NO password protection please. The

2 video should be in English and please present the founding team in person. 8. How many people are working on this startup idea? * 9. How long have you been working full time on this startup idea? * Save & Continue

3 Executive Summary Important: You need to complete each question of the form and then click the "Save & Continue" button in order to save your answers. Tip: If you are not sure of the definitive answer yet, you can always fill in a placeholder and return later to modify. 1. What is the problem you plan to solve? * How have you validated this problem? 2. What is the product or service that you are going to create? * Please describe what you are offering. What is new/innovative about what you are doing? How do you create value for your customers? How do you capture value? Is there any relevant Intellectual Property? 3. Validation of the concept or prototype * Please describe the potential users/clients you have tested the product you are offering and why these interactions validate the problem/solution fit. You should tell us how many have you validated with! 4. What type of business model are you seeking? * You can chose more than one. Business to Business (B2B) Business to Consumer (B2C) Business to Government (B2G) Consumer to Business (C2B) Consumer to Consumer (C2C) 5. What phase of development is your startup in? * Concept

4 Prototype in development Pivoting prototype with users/clients Functional product with users/clients Scaling sales 6. If you have already built something (mock up, or diagram of your potential solution), please provide a valid link without password or login 7. To whom will you be selling your product/service? Describe your target market. * 8. How will your startup make money? * What would your revenue model be? Subscription? Freemium? Direct sales? What are your upcoming capital needs, if any? 9. What skill set and experiences does each team member bring to the startup? * Why do you think your team will be capable of leading this startup to succeed from their experience in the industry? Have any of you launched a product together as a team in the past? How long has the founding team known one another and how did you meet? 10. Who will your main competitors be? How will you be different? * Save & Continue

5 Elegibility Important: You need to complete each question of the form and then click the "Save & Continue" button in order to save your answers. Tip: If you are not sure of the definitive answer yet, you can always fill in a placeholder and return later to modify. 1. Have you read and understood the Terms and Conditions? * 2. Is the founder going to work exclusively in the startup in Chile throughout the entire duration of the program (4 months)? Plus an additional month due to legal procedures. * If you live in Chile and you will work exclusively on your startup during your time in The S Factory program you should answer yes. 3. Have you received funding from any Chilean government entity? * 4. How did you hear about The S Factory? * Start Up Chile Entrepreneur (please tell us who) * Word of Mouth The S Factory Meetup Twitter Facebook Instagram Youtube News (Digital or Traditional Media) Other (specify) * 5. Are you planning to start a consulting company or a franchise of an existing one? * Save & Continue

6 Team Leader Form Important: You need to complete each question of the form and then click the "Save & Continue" button in order to save your answers. Tip: If you are not sure of the definitive answer yet, you can always fill in a placeholder and return later to modify. 1. First Name * Please enter your name EXACTLY as it appears on your passport or Chilean ID. NO nicknames, short names, or any other unofficial names will be accepted. 2. Last Name * Please enter your name EXACTLY as it appears on your passport or Chilean ID. NO nicknames, short names, or any other unofficial names will be accepted. 3. Gender * The S Factory is a pre accelerator that seeks to support early stage startups that have at least one female founder. Our goal is that a female founder is the one participating in the program on behalf of her team. Female Male 4. Mobile phone number (with country Code) * 5. Contact * 6. Skype * 7. Nationality * Please select the country that issued your identification 8. City * Please specify the city where you reside. 9. Region (Only for people residing in Chile) Please specify the region where you live. 10. What is the highest level of education you have completed? *

7 g y p Select the last university you went to. Less than High School High School 2 Year College Degree 4 Year College Degree MBA Master's Ph.D 11. Institution Name * 12. Area of Study * 13. LinkedIn URL Please provide the link to your public profile. Optional 14. Tell us about your experience to date and how it is relevant to this startup? * 15. Which of the following best describes your role in this startup?* * Operations Finance Technology Sales and Marketing 16. What is your most significant accomplishment as the Team Leader? How did you achieve this? Why are you a true leader? * 17. How did you as the Team Leader start with this project? How did you gather the team? How did you come up with the idea? *

8 18. Have you founded a startup before? * 19. Please upload your Chilean ID, if you don't have a Chilean ID please upload your passport * Please only scan the photo page and any page that proves that the passport/id is valid, and make sure it is readable. File size limit 10MB Browse Chilean ID/Passport number * Only Chilean ID cards or International passports are accepted as identification 21. Chilean ID/Passport Date of Expiry * Only Chilean ID cards or International passports are accepted as identification 22. Date of Birth * 23. Are you coming to Chile? * Save & Continue

9 Team Member Form Important: You need to complete each question of the form and then click the "Save & Continue" button in order to save your answers. Tip: If you are not sure of the definitive answer yet, you can always fill in a placeholder and return later to modify. 1. Do you need to add a team member? * Yes First Name * Please enter the name EXACTLY as it appears on the passport or Chilean ID. NO nicknames, short names, or any other unofficial names will be accepted. Last Name * Please enter the name EXACTLY as it appears on the passport or Chilean ID. NO nicknames, short names, or any other unofficial names will be accepted. Gender * Female Male Mobile phone number (with country Code) * Contact * Skype * Nationality * Please select the country that issued the team member identification City * Please specify the city where the team member reside. Region (Only for people residing in Chile) Please specify the region where the team member live. Pl S l t

10 What is the highest level of education you have completed? * Select the last university that the team member went to. Less than High School High School 2 Year College Degree 4 Year College Degree MBA Master's Ph.D Institution Name * Area of Study * LinkedIn URL Please provide the link to the team member public profile. Optional Tell us about the team member experience to date and how it is relevant to this startup? * Which of the following best describes the team member role in this startup?* * Operations Finance Technology Sales and Marketing Has the team member founded a startup before? * Please upload the team member Chilean ID, if he/her don't have a Chilean ID please upload his/her passport * Please only scan the photo page and any page that proves that the passport/id is valid, and make sure it is readable. File size limit 2MB, Permitted formats: png,jpg,jpeg,pdf.

11 Browse... Chilean ID/Passport number * Only Chilean ID cards or International passports are accepted as identification Chilean ID/Passport Date of Expiry * Only Chilean ID cards or International passports are accepted as identification Date of Birth * Are the team member coming to Chile? * Save & Continue

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13 Recommender Important: You need to complete each question of the form and then click the "Save & Continue" button in order to save your answers. Tip: If you are not sure of the definitive answer yet, you can always fill in a placeholder and return later to modify. 1. Recommender Full Name * 2. Organization * Company/Organization name 3. Title * What is your recommender's position at his/her current organization 4. Recommender * 5. Recommender Phone * 6. Recommender Linkedin URL 7. Please upload a recommendation letter describing why the recommender supports you? Why does the recommender thinks you are be able to successfully execute this idea?. * Only PDF format (2MB) Browse I hereby apply for admission to The S Factory and certify that the information I have provided in my application is complete, accurate and my own work. I have submitted only one application to this round of The S Factory.* * Save & Continue