Registration form for Start-up consultation
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Registration for consultation at the Gateway ESC.
Please note: all fields marked with an * are mandatory.
Personal Information
Form of address*
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Mr
Ms
Mx
First Name*
Surname*
E-Mail*
Phone number
Studies / Alumni Status / Employment
Name of University*
Faculty
If University of Cologne, please choose your faculty
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Faculty of Management, Economics and Social Sciences
Faculty of Law
Faculty of Medicine
Faculty of Arts and Humanities
Faculty of Mathematics and Natural Sciences
Faculty of Human Sciences
Subject or Department*
Current Status*
Bachelor student
Master student
State exam student
Doctoral candidate
Professor, research associate
Alumni
Other
Degree*
obtained
planned
on*
Additonal team members
Consultation appointment
Do you have a preference for a specific date or are there times of the week that you would like to exclude?
Preferred Date
Are there any other requests or regarding the consultation?
Further requests
Project or Start-up Idea
Project name*
Project summary*
Description of the business idea
Business idea*
Why will the business idea succeed? What is the customer benefit?
Customer benefit*
Who is your target group?
Target group*
Funding*
Bootstrapping
How shall the project be funded?
Dept financing (e.g. bank loan)
How shall the project be funded?
Funding (EXIST etc.)
How shall the project be funded?
Equity capital (e.g. VC or Business Angel Investment)
How shall the project be funded?
Crowdinvesting/funding
How shall the project be funded?
Uncertain
How shall the project be funded?
Other
How shall the project be funded?
if other
What is the current state of the project? What are the next steps?
State of project
Which specific questions shall be discussed in the consultation?
Your questions*
Are you already in contact with a scientific mentor regarding your business idea?
Contact person
How did you find us?
Instagram
Facebook
LinkedIn
Twitter
Internet search
Website of the University of Cologne
Press
Event
Personal recommendation
Get in touch
We would like to contact you in case of relevant offers (e.g. workshops, summer school, idea competition). Do you agree to be notified?
Yes
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