Application form – Clean Cities Spain Climaccelerator

This is the official application form to apply to the Clean Cities Spain ClimAccelerator programme.

The deadline for this call is April 1st until 12h00 PM CEST. Please, have in mind that in case of pre-selection, the selection process will take place on the following weeks.

If you have any query or problem, please contact:

Ana Horta: @
Elisa Navarro: @

Note: The language of this form is English. If we receive any application in another language, it will be automatically rejected.

General information
Details information
Additional information
Contact information

Name

General Information

Startup name (official name) *

Startup name (commercial name) *

Your startup in one tweet *

(250 characters limitation)

Email Address *

Which of the following best describes the current status of your venture? *

Website *

Startup Linkedin Profile *

Registration Number *

Registration date *

Country *

About your Business Model… *

TRL Level *

Which have been your key milestones recently? *

Do you have IP rights of your product(s)/service(s) secured? *

If yes, could you add more information about it?

About the sector

According to your focus, please select the accelerator topic which better fits your startup *

Climate relevance *

Adaptation

Enabler

Mitigation

About the team

How many founders/co-founders does your startup have? *

Please, list your founders/co-founders members (Names and positions) *

How many employees does your startup have? *

Please, list your employees current team members (Positions and functions) *

How many advisors does your startup have? *

Please, list your advisors in case of having (Name and relation to the startup) *

Gender diversity: Please, indicate to us the balance within the team about female and male team members (including founders/co-founders). How many female members has this startup? *

Gender diversity: Please, indicate to us the balance within the team about female and male team members (including founders/co-founders). How many male members has this startup? *

What is your gender strategy? *

About your financial situation

In total, how much grants did your startup received in 2024? Note: We are referring grants to the financial help received by public or private entrepreneurial programmes or prizes received *

Could you please provide more details regarding grants received during 2023 and 2024, including the source(s) of funding and the amount(s) received? *

In total, how much public investment did your startup raise in 2024?

Could you please provide more details regarding public investment received during 2023 and 2024, including the source(s) of funding and the amount(s) received? *

In total, how much private investment did your startup raise in 2024?

Could you please provide more details regarding private investment received during 2023 and 2024, including the source(s) of funding and the amount(s) received? *

Contributions (% and amount) per founders team *

What are you looking for in terms of funding/ investment for the next year? (Source, amount and motivation such as internationalization, to increase the team, etc…) *

Sales & Revenues

Does your company have revenue? *

Yes

If yes, how much annual revenue does your company have? (please, indicate the amount from last year)

Does your company have customers? *

Yes

If yes, how many?

Related to the customers, could you please specify more about the customer target you’re focusing on? *

Are these customers recurrent for you? *

How much is the average ticket you usually have based on your customers? *

In terms of potential clients, what are you looking for? *

In terms of potential collaborations, what are you looking for? *

Additional information

Did you participated in an incubation programme? *

Yes

If yes, please indicate us in which programme and when you participated

Did you participated in an acceleration programme? *

Yes

If yes, please indicate us in which programme and when you participated

What are you looking for within the Clean Cities Spain ClimAccelerator programme? *

How can we help your startup? *

It is highly recommended to send a video (Youtube links acceptable only) *

Contact information

Contact person 1

Person 1: Name of the applicant *

Person 1: Email *

Person 1: Position at the company *

Person 1: Surname of the applicant *

Person 1: Telephone number *

Person 1: If you want to add any additional point, please, include it here

Contact person 2

Person 2: Name of the applicant *

Person 2: Email *

Person 2: Position at the company *

Person 2: Surname of the applicant *

Person 2: Telephone number *

Person 2: If you want to add any additional point, please, include it here

Dissemination information

How did you hear about this programe? *

Data Protection

I accept

Having been informed that the Universidad Politécnica de Madrid (UPM) is responsible for the processing of my data; that the processing is legitimized because it is necessary for the execution of the contract to which the interested party is a party (art. 6.1.b of Regulation (EU) 2016/679); that there is no provision for the transfer of data to third parties, except under legal obligation; that I can access, rectify and cancel the data, as well as exercise other rights, in the terms indicated in the additional and detailed information on Data Protection. And I authorize UPM to capture my image and/or my voice in photographs, videos or other analog or digital reproductions or any other media, now or in the known future; record, copy and store the materials resulting from the capture distribute raw or edited photographs/videos or other media in any and all its publications and media, for any fair and lawful purpose related to any of UPM's activities.