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Please fill in all the fields. If your business is selected, it will be shown on the project's website at easystart.TheMarker .com
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| * Name of entrepreneur: |
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| * Name of business: |
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| * Field: |
Trade
Agriculture
Environment
Hi-Tech
Internet
Other:
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* Description of the product or service you want to develop:
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* Why your product or service is a necessity:
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Please fill out the following fields. Information given here will not be posted on the website, and is used strictly for a background check of the entrepreneur
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| 1. Personal information |
| * Name(s) of entrepreneur(s): |
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| * ID number: |
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| * Sex: |
Male
Female
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| * Date of Birth: |
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| * Email: |
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| Telephone: |
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| * Cell phone: |
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| * Position in company: |
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* Education:
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* Personal experience:
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| * First entrepreneurship: |
Yes
No
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| 2. Goals of the request: |
| * Goal of the request: |
Establishment of new company
Expansion of existing company
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| 3. Existing Company Information |
| * Does the entrepreneur work in an existing business or partnership (henceforth known as the¨business¨):
Yes
No
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| - If you answered yes, answer the following questions. If you answered no, please go on to question 4 |
| - In what framework: |
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- For other, please provide details here:
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| General |
| - Name of business: |
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| - Name of company/partnership: |
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| - Business ID number (as appears on tax forms): |
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| - Tax ID number: |
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| - Date business established: |
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| - Business address: |
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| - Names of all stockholders in company: |
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| - Business telephone number: |
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| Business fax number: |
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| Business website address: |
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| Annual sales revenue: |
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| Number of employees (including entrepreneur): |
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| Positions held by other employees: |
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| - Names of Board of Directors: |
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| - Has the business received credit loans/other loans/governmental aid?:
Yes
No
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- If yes, describe:
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| Legal procedures |
- Are there any pending legal procedures against the company/entrepreneur/employees or any other businesses with
which the entrepreneur is involved? - If yes, describe:
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- Are there any court rulings involving the company/entrepreneur/employees or any other business with
which the entrepreneur is involved? - If yes, describe
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- Is there any notice of a third party's intent to take legal action against or in relation to the company/entrepreneur/employees
or any other business with which the entrepreneur is involved - If yes, describe
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- Are the company/entrepreneur/employees or any other business in which the entrepreneur is involved
linked to any criminal convictions - If yes, describe
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- Are there any investigations underway by any authorities regarding the company/entrepreneur/employees or any other business in which
the entrepreneur is involved? (if yes, please provide details)
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- Have any legal authorities ever conducted an investigation tied to the business and/or business ventures of the
company/entrepeneur/partnership and/or position within the company? (If yes, please provide details of the results of said investigation)
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| Other |
| - Is the business/entrepeneur bound by a contractual agreement with a third party? If so, explain
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- Are there any written correspondences between the business/entrepeneur and the legal authorities
dealing with substantive matters? If so, explain
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If you have any documents or other information about the entrepreneur/business/entrepreneurship that may be important in evaluating your candidacy, please send an email with your personal information to
easystart@themarker.com
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4. List potential competitors for the entrepreneur/business:
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| 5. Development stages |
| * Stages in the development of the business: |
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| 6. Intellectual property |
| Patent |
| * Does a patent exist?: |
Yes
No
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| - If you answered yes, please continue below. If you answered no, please move to question 7 |
| * Has a survey of the patents been evaluated?: |
Yes
No
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| - If yes, what is the date of the survey?: |
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| - How was the survey conducted?: |
Independently
Through a lawyer
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| * Have you obtained permission to register your patent?:
Yes
No
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| - If yes, in which country or countries?: |
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| * Have you registered your patent?: |
Yes
No
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| - If yes, in which country or countries?: |
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| Domain Names |
| - Are there any domain names which exist on the internet tied to the entrepeneur and/or business?
Please explain:
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- Are there any other:
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- Are there any agreements relating to intellectual property rights in relation to the entrepeneur and/or business? If so, explain:
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7. Abstract of business plan
How does one prepare a business plan? >>
• In order to submit your application you must prepare and submit a complete business plan.
Only a project submitted with a complete business plan will be reviewed and considered.
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The business concept: (press for explanation)
>> Shortly describe the business concept
(close)
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The entrepreneur's vision: (press for explanation)
>> How does the entrepreneur perceive the project/business in a year from now and a number of years in terms of place in the market,
sales, number of employees etc
(close)
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Description of business (if a business already exists!): (press for explanation)
>> Give a general description of the business today, history and activities until now, how the business currently operates, ownership
structure of the business and an brief review of the financial performances to this day
(close)
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Market analysis: (press for explanation)
>> Define the market, describe the market's size and anticipated growth in terms of quantity and money.
Present the main features and tendencies of the market.
Present the market segments, each segment's main features and requirements of clients in each segment.
Which segment is the target audience for the project? What business opportunity does the entrepreneur see in the market?
(close)
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Competitors and competition: (press for explanation)
>> Name the project's main competitors. What are the advantages of the project compared to competitors?
What are the disadvantages compared to competitors?
(close)
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The product/service: (press for explanation)
>> What is the product the project intends to market? (briefly) a short technological description of the product (if necessary).
How does the product respond to needs of potential clients? What advantages does the product offer over similar products?
What are the product's direct cost and price for the buyer and client? Has a patent been registered for the product?
What are the project's disadvantages compared to competitors?
(close)
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The business and marketing strategies: (press for explanation)
>> Describe and explain the business model.
How will the project work and how will products be marketed to clients? What will be the sales price of the product to clients?
How will the project and product be advertised to relevant clients?
Present the planned sales program for the next year and upcoming years!
(close)
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Research and Development plan: (press for explanation)
>> Present a Gantt chart for the planned Research and Development plan.
The chart should include the development stages (alpha, beta, launch etc.),
the resources required for development (work force, technology etc.) and the anticipated schedules.
(close)
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Operation program: (press for explanation)
>> Present the activity process to be utilized in the project, including emphasizing milestones in the process, the process's advantages
over competitors, required technology or machinery, required work force and more
(close)
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Entrepreneurs and ownership structure: (press for explanation)
>> Describe the ownership and management structures for the project, including the share division between various owners.
Briefly describe shortened CV's of the entrepreneurs and owners.
(close)
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The financing and investment program: (press for explanation)
>> How much money does the project need to realize the business plan? What will the money be used for?
Fill in the Resources and Use report.
(close)
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Financial program: (press for explanation)
>> Indicate the basic assumptions forming the financial forecast. Submit an expected profit and loss report for the next year
and for two more years. (meaning, a forecast for the next three years)
(close)
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Risk factors: (press for explanation)
>> Indicate factors that may risk the success of the project (marketing, economic, technological and operation factors)
(close)
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| * Please attach an abstract of your business plan: |
Word doc or rtf no bigger than 200 kb |
| * Do you have a PowerPoint presentation explaining your plan?:
Yes
No
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| * Do you have a short film explaining your plan?:
Yes
No
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| * Application number:
to the foundation
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* Are you interested in forwarding your details to the Shemesh Fund for Young Entrepreneurs?
Yes
No
(press for explanation)
>> The Shemesh Fund for Young Entrepreneurs, is a philanthropic foundation established by the Edmund J. Safra Foundation
and the Sacta-Rashi Foundation, in order to help young, talented entrepreneurs out of work to turn a successful idea into a successful
business.
The foundation will gladly review applications from entrepreneurs who will comply with the foundation's criteria.
For more information about the foundation visit: www.keren-shemesh.org.il
(close)
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I have read and agreed to the policy rules
policy rules
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