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Sign up 2022
Sign up form Mobility Lab 2022
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Personal data
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Startup name
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First name of registrant
This field is required
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E-mail
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Phone number
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Adres startup
Zipcode
City
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Legal entity
B.V.
V.O.F.
Holding
Sole proprietorship
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Startup website
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Proposition
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Give a brief description of the product/service?
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Upload a demo if available (video / photo / design sketch)
Choose file
or paste an url to the file (optional)
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How far has the proposition been developed? What is the Technical Readiness Level?
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When is the (partial) product / service ready to be tested in a pilot?
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To which of the following social themes does your proposition contribute?
Climate and sustainability
Behavioral change
System innovation
Logistics
Road safety
Livable city
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Problem and solution
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What problem is solved by your product / service?
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Who are the customers you are solving the problem for?
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Who are the end users of the product / service?
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Have you done any customer validation? How do customers react to your proposition? What have you learned?
Please answer the question as specific as possible so that we receive a clear picture of your start-up.
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What is your business model?
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Testing
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What do you want to test during Mobility Lab?
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What is the biggest challenge your startup is currently facing?
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What is your ideal (type of) launching customer to test with?
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Team
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What does your team look like? Briefly describe the composition of your team and each member’s role
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How are your company’s shares distributed? Tell us who your active founders are and who your investors are (if any)
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What is your long-term ambition?
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Have you raised any funding and if so, what is the source of the funding and how much?
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How much money do you still need in the next 12 months to develop further?
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Mobility Lab
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Mobility Lab offers testing opportunities. Are there any additional reasons why you want to participate?
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How did you hear about us?
Social Media
Newsletter
Website
Google
Other
Namely:
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Availabilty
I am available on June 30, July 7 and September 8 & 9 for the kick-off events.
Commitment
I commit to participating in the program for 9 months (June 2022 to Feb 2023).
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