Deal Flow Intake Form

Thank you for your interest in funding from Brown Venture Group! Please complete the following application form, including background information on your company and its founders. Please send any supplemental materials (e.g., pitch deck, data room) to eyerusalem@brownventuregroup.com with the following subject line: [COMPANY NAME Application Materials]. 

We receive a large volume of requests, but we'll get back to you as soon as we can. Thank you for your patience!

Company Name *

Company URL

Company Location (City, State/Territory/Country) *

Are you a tribal-owned business?

If yes, which tribe?

Founder(s) or Main Point of Contact(s) Name *

Founder(s) or Main Point of Contact(s) Email *

Founder(s) or Main Point of Contact(s) Title

What is your idea? *

How many FTEs does your company currently have? *

How many part-time and/or contract employees does your company have?

Describe your business model. *

List any notable customers or partners.

Do you already have a minimum viable product/prototype? (This question does not qualify or disqualify your application.)

Do you have Intellectual Property (IP) (e.g., patents, trade secrets, trademarks, etc.)? This question does not qualify or disqualify your application.

What progress have you achieved to date with your technology (e.g., adoption rate, number of users, sales, etc.)? *

What obstacles have you encountered or overcome during the design and scaling of your technology?

What is the Total Addressable Market (e.g., demographics, market segmentation, etc.)?

What industry are you in? (Select all that apply.)

If "other," please specify.

Are you pursuing investment as part of the tribal SSBCI program?

How much are you seeking to raise from BVG?

At what valuation are you seeking BVG investment?

Please list any firm(s) that have made an investment.

How would you identify racially/ethnically?

Are you an enrolled citizen of a tribe, or a shareholder of an Alaska Native Corporation?

If yes, which tribe?

Gender

What are your preferred pronouns?

If "other," please specify.

Has the company owner(s) ever been convicted of a sex offense against a minor (as such terms are defined in section 111 of the Sex Offender Registration and Notification Act (42 U.S.C. § 16911))?

As a receipient of federal SSBCI dollars, BVG is required to certify that investees have not been convicted of certain sex offenses.

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