Greentown Member Application

Greentown Member Application
We are a community of passionate entrepreneurs developing solutions to solve the biggest climate and energy challenges - solutions that will not only transform our daily lives but revolutionize the way society thinks about, consumes, and engages with key global resources.

This application is for startup incubation at Greentown Labs.

For any questions, please email recruitment@greentownlabs.com
Company Name
General name used for website and marketing materials
Company Legal Name
Legal name used on official documents
Company Website
Company Country
Company City
Company Province
Company State/Territory
Description of company (I.E. product, technology, markets, competitive advantage, etc.)
500 words of fewer
System category
Technology Areas (HOLD CTRL TO SELECT UP TO 5)
Select any Greentown corporate partner you're actively working with: (HOLD CTRL TO SELECT UP TO 5)
*This is for internal reference only and will not be stored.
How does your company positively impact energy, the climate, or the environment?
500 words of fewer
Incorporation status
Company incorporation date

MonthDayYear
Date
We strongly prefer applicants are incorporated, whether in the US or abroad, before they join Greentown Labs. When do you intend to incorporate?
Did your company spin out of a university?
Which university?
Technology Readiness Level (TRL Guide)
More information about TRLs here.

Has your company been awarded any patents?
Number of patents pending
Number of patents approved
Number of full-time employees
Number of part-time employees
Founder's name

First NameLast Name
Founder's email
example@example.com
Founder's phone
Please enter a valid phone number.Format: (000) 000-0000.
Add a co-founder?
Co-Founder's name

First NameLast Name
Co-Founder's email
example@example.com
Co-Founder's phone
Please enter a valid phone number.Format: (000) 000-0000.
Current funding to date (including self-funding and non-dilutive / grant funding)
Is your company generating revenue?
In the past 12 months, Approximately how much revenue have you generated?
Which incubator location would you prefer to be associated with?
Ideal membership start date

MonthDayYear
Date
Do you expect to have a physical presence (lab or office) at either location?
How many people from your team need access to Greentown Labs' facilities?
If interested in lab space, what type of lab space?
How many wet lab benches do you expect to need?
How many square feet of prototyping lab space do you expect to need?

Demographic Information
Greentown is committed to increasing diversity and maintaining an inclusive community culture. We welcome applications from founders and teams of all backgrounds, regardless of their ethnicity, race, gender, religious beliefs, sexual orientation, age, marital status, veteran status, or whether or not they have a disability.

We are collecting demographic information about each executive team to assess whether historically underrepresented groups in climatetech are fairly represented in our applicant pool and to learn more about how best to serve the needs of our community. We invite you to self-identify the race, ethnicity, and gender of the individuals on your executive team to help us in this effort.

Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. Additionally, this information will not impact the consideration of your application.
How many people are part of your executive team?
Which of the following underrepresented or under-resourced gender identities are included within your executive team (based on public self-identification)? Please select all that apply.
Please use this space to tell us more about them
Which of the following underrepresented or under-resourced racial or ethnic identities are included within your executive team (based on public self-identification)? Please select all that apply.
Please use this space to tell us more about them

Additional Information
Please upload your overview presentation for the recruitment team to review during the application process.

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Upload any supplemental information you think we should review in consideration of your application.

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Please submit your company logo.

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Contact Information

The person filling out this form.
Name

First NameLast Name
Email
example@example.com
Title
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Where did you hear about us?
Greentown member

First NameLast Name
Greentown member email
example@example.com
Should be Empty:

Demographic Information