Colorado Impact Days Call for Deals Application
Instructions
Due by Jan. 15, 2016 at 5:00 pm MST via this URL: https://app.valideval.com/coimpact_2016/signup/team_signup.php
 Entries that do not comply with these instructions will not be accepted. Please read carefully!
 The information that you provide on this application must be information that is defined as non-sensitive by your social venture
(e.g. project, for-profit, non-profit, or fund).
 Complete this entire entry form using a 10-point font size. Do not change this document’s margins or alter its format.
 Your completed document must be no more than three total pages: two pages of content on pages two and three, plus this
company profile page. Fill in your responses in the boxes below on all three pages.
 Parts 1 - 6 below must be contained on a maximum of two pages. You may change the relative sizes of the boxes’ lengths, but
you must write your responses within the provided template.
 The bolded, black text in each of the boxes for parts 1 through 6 are clarifying questions and content suggestions. We
understand that you may not have answers to all the questions, but more complete applications tend to get better evaluations.
You may delete this bolded, black text in parts 1 through 7 as you fill in the application.
 Save this file as a PDF.
 Please include your company’s name in the filename of the PDF you create.
 Questions or concerns? Please be in touch with Kerianne via [email protected]
 This form will be scored by a subset of the competition’s reviewers. Please carefully review the accompanying PDF for details on
the evaluation criteria.
Track (select only one)
Arts, Culture & Creative Enterprise
Economic Development & Social
Justice
Education & Early Childhood
Energy
Health, Wellness & Food
Water, Environment &
Transportation
Basic Information
Organization /
Project Name
Contact Name
Contact’s Title
Email
Phone number
URL
Team Information
Name
Title / Role
Organization Type (select only one)
For-profit
Non-profit
Fund
Project
Stage (select only one)
Idea
Startup
Established
Type an “x” in the left column of the above
tables that most closely matches your industry
sector.
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Part 1: Mission Statement
Please tell us about your mission. Whom or what does your work impact? Why does it matter? What sorts of impact do you /
will you have? How do you / will you make this impact?
Those reading your application should immediately get a sense of whether your work is aligned with impact investing goals.
Be sure to give those reading this application a very clear sense of how your mission/goals for this project might be of interest to
impact investors.
Part 2: Solution (Product, Project) Description
Briefly describe your product or service.
If possible, please briefly prove that your Solution will actually deliver the desired outcome (from your mission statement or
goals for this specific effort. Ideally, your argument should be based on credible evidence. If you have developed a “ Theory of
Change ” or similar framework, this is the place to convince the reader that your Solution will create the impact you seek.
Is your Solution innovative? Please discuss what- if anything- is novel about your approach.
Does your Solution become cheaper as your impact grows? If your approach becomes less expensive as you expand, please
describe how you will achieve this.
Discuss why the timing for your Solution is right, and how you will overcome the status quo in the market/community you serve.
Are there other solutions like yours in Colorado or elsewhere? Are they getting traction? Will your idea displace other Solutions?
Part 3: Impact Solution (Product, Project)
How much impact does / will your product Solution have on your organization’s or company’s mission?
What measurement techniques are you using / will you use to measure this impact? Can it be measured directly? If not, what
other things are you / will you be measuring, and how are those indirect measurements correlated with your mission's impact?
Are you making an impact today? How quickly can your proposed idea/solution/product make a difference?
Part 4: Team Composition
Briefly list your core team and any board members, advisors and/or partners you consider crucial for your success. What skills
and experiences do these people bring to your team? Are there gaps in your team you’ll need to address in the next 12 to 18
months? If there are gaps, what are they?
As a group, what progress have you made so far in realizing your mission? Please give those reading this application confidence
in your team’s ability to execute on your plan.
What are the biggest risks (uncertainties) your team faces in achieving its mission? Demonstrate that you understand what will
be difficult moving forward. Give the reader some confidence that you both understand the risks and have a plan to address
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them.
Part 5: Operations
FOR PROFITS: Value chain. Your Solution operates within a value chain. Other businesses and organizations provide you with
inputs. Downstream from you, other stakeholders collaborate / resell / distribute / promote / deploy what you produce or
provide the service you provide. Please describe your value chain. How do the stakeholders in your value chain benefit? Is
working with you a better deal than the alternatives? Why?
FOR NONPROFITS: How do you know that your Solution will provide value to your organization, your constituents, and/or your
clients? Can you measure that value? What other stakeholders will you need to collaborate with in order to be successful – will
there be an added value for them? Is there any competition to your Solution from a nonprofit or for profit? Why is your idea
better than any existing ones?
Please fill out the financial model summary below. Replace the “Impact measure #1” and “Impact measure #2” with your top
two key performance indicators. Then project how much of these impacts you expect to deliver over the next few years.
You may not be able to fill every box – this is OK.
2015
2016
2017
2018
2019
Full time staff you employ
Impact Measure #1
Impact Measure #2
Below in ($000s)
Revenues
EBITDA (For profit ventures only)
Equity/Debt Created
Funding required
Part 6: Impact Investor Outcomes
How much money are you seeking? If you have identified a specific investment vehicle (program-related investment, missionrelated investment, recoverable grant, equity investment, loan, etc.) please identify it here.
Are you offering a financial return to your investors in addition to your impact? What will that return be? Why is an investment
in you and your team going to produce and excellent value in terms of impact delivered per dollar invested? Describe the selfsufficiency of your financial model. Do you need investment only at the beginning? Do you require ongoing funding?
Are there other financing opportunities that an investment today would unlock? If matching funds, special tax credits, etc. are in
play, please describe them. If you believe that today’s investment will unlock important future funding sources, please describe
how.
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