Application Form
The completed application must be submitted no later than 5:00PM (CT) May 22, 2017
Application can be emailed to [email protected]
Note:
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Maximum size limit is 5MB attachment
Contestants with incomplete application form will be disqualified from the Competition. All fields
on the application form are required unless otherwise noticed.
Company Name (for group projects only)
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Email Address:
Primary Phone Contact:
Secondary Phone Contact:
List all persons that own 20% or more of the business (for group projects only):
Please indicate how did you find out about the InnovateHER 2017 Competition:
Provide a brief description of your business and the product/service of the business
(200 words limit)
InnovateHER 2017 – Application Package
Describe how your product/service has a measurable impact on the lives of women and
families (250 words limit)
Describe how your product/service has the potential for commercialization (250 words
limit)
Describe how your product/service fills a need in the marketplace (250 words limit)
InnovateHER 2017 – Application Package
Business Plan Overview Template
Note:
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The Business Plan Overview should briefly address essential components of a standard
business plan. The winner selected to continue the semi-final round in the Competition
will be required to elaborate on the Business Plan Overview during the next phase of the
Competition.
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The Business Plan Overview needs to follow the format requirements of a) 2 single-side
pages maximum, b) 12-point font, and c) single-spaced text. Charts, diagrams, and
tables are not required; however, if submitted, they must provide support for the
required elements outlined in the Business Plan Overview.
Provide a brief description of your business and the product/service of the business
What customer problem does the product/service solve?
How is your product/service different from other competitors or alternatives?
Who are your direct and indirect competitors?
InnovateHER 2017 – Application Package
Who are your targeted customers?
 If consumers, what are the demographics: age, income, ethnic group, location,
hobbies?
 If businesses, what industry, size, and location? What is your geographic market
area? What is the potential size of the market in total purchases annually? What
is the potential annual sales revenue growth?
Describe how your product/service creates value for the identified customers
What are the methods of distribution for the product/service?
Describe how the business will generate revenue
InnovateHER 2017 – Application Package
Describe all the possible sources and strategies to fund the product/service
InnovateHER 2017 – Application Package