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Startup Acceleration Program — Registration
Section 1: General Information
Startup Name
Website / Social
Date Established
Startup Location (City)
Select City
Hebron
Bethlehem
Jerusalem
East Jerusalem
Ramallah
Jericho
Nablus
Qalqilya
Tulkarm
Jenin
Salfit
Tubas
Other
Contact Person
Full Name
Position/Role
Email
Phone Number
Number of Team Members
Core Team Members
Name
Role
Commitment
Email
Select
Full-time
Part-time
−
+ Add Member
Is your startup officially registered?
Yes (attach registration document)
No, but planning to register
No, not registered
Section 2: Startup Description
Brief Description (max 200 words)
Stage of Development
Idea / Concept
Prototype / MVP
Post–Customer Discovery
Early Market Traction
Growth / Scaling
Section 3: Traction and Momentum
What key milestones or progress have you achieved in the past 3 months?
Do you have any customers?
Paying customers
Early users
Unpaid pilots
Interested / potential
How much time can the founder and core team dedicate to the startup?
Full-time
Part-time
Occasional
What are your top 3 biggest challenges? (here list different areas- multiple choice)
Branding & Identity
Go-to-market
Financials
Legal / registration
Sales / acquisition
Development
What incubation or acceleration programs (if any) have you been a part of? (list all)
Have you raised any funds towards the startup ?
Yes
No
If yes, select all that apply
Seed-funds
Angel investment
Grants
In-kind support
Venture capital investment
What do you want to get out of the program?
Section 4: Attachments
Pitch Deck (PDF, required)
Company Registration (PDF/Image)
Short Video (YouTube URL)
Create a short Team Introduction Video (maximum 2 minutes). Each founder should briefly introduce themselves and share their motivation or “why” behind starting the venture. The video can be unlisted/hidden but must be accessible via a shareable link (e.g., YouTube, Google Drive, etc.)
Additional Material (optional)
Submit Application
