InsurTech NY Virtual Accelerator for Growth-Focused Startups

Apply Now: InsurTech NY Virtual Accelerator

This form should take you no more than 15 to 30 minutes.  Apply Early! Due to overwhelming interest, we may close the application before the final due date: Aug 17 2020

To learn more about the program go to www.insurtechny.com/accelerator


BASIC INFORMATION
Company Name
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First Name
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Last Name
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Title
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Email address
Please enter a valid email
Cell Number
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Company Website
Please enter a valid URL

BUSINESS INFORMATION
1. REVENUE: What is your annual run rate?
None at the moment
$100k or less
$100k to $500k
$500k to $1M
$1M to $3M
$3M+
This question is required
2. CUSTOMERS: How many customers do you have?
None at the moment
1 to 2
3 to 5
5 to 10
10 to 100
100 to 1,000
1,000 to 10,000
10,000+
This question is required
3. CUSTOMER/PARTNER: Name key carrier or broker customer(s) or partner(s)
This question is required
4. BURN RATE: How many months can you operate your business without additional investment?
6 months or less
6 months to 12 months
12 months to 24 months
24 months+
Not applicable, as we are profitable
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5. LOB: What line(s) of insurance business do you support? Check all that apply
Health
Life
Annuities
Benefits
Personal P&C
Commercial P&C
Cyber
Other
This question is required
6. VALUE-CHAIN: What area in the insurance value-chain do you support?
Direct to Customer Distribution Channel
Distribution Technology
Underwriting Technology or Data
Claims Technology
Core Technology
RiskTech (Loss Control)
RegTech
Medical
Other
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7. PROBLEM: What is the problem you are solving with your product?
This question is required
8. PRODUCT: Describe how your product works.
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9. COMPETITION: Who are your top 3 closest competitors?
This question is required
10. DECK: Please share your investor or sales pitch deck
Choose a file
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11. OBJECTIVE: Why are you interested in joining InsurTech NY's growth-stage accelerator? What do you want to get out of the program?
This question is required
12. Would you like to be considered for startup showcase on our InsureTech Connect (ITC) partnership event on September 17th?
Yes
No
Please choose an answer
Submit Application

Applications closes 11:59 PM August 17, 2020