Thank you for your application to the Harvest Program!

We appreciate you taking the time to apply for the 2021/22 Harvest Program. Applications will close on the 8th October 2021. We will then commence our selection process. If at any time you have questions, please don't hesitate to get in touch via claire@farmers2founders.com

If you would prefer to download the application form so you can save and return to it at another time, click the button below. Once completed please email the form and any supporting material you would like to share to: claire@farmers2founders.com

Download Application Form Here

About you

NAME

PHONE

POSITION / TITLE

General Info

BUSINESS NAME

WEBSITE

BUSINESS LOCATION

ABN

DATE FOUNDED

INDUSTRY SECTOR

BRIEF DESCIPTION OF YOUR PRODUCT/SERVICE

About your business

WHAT IS THE LEGAL STATUS OF YOUR BUSINESS?

Individual

Incorporated

Not for profit

Other

WHAT STAGE IS YOUR BUSINESS?

Feasible business plan without MVP

Prototype ready

Pilot or proof of concept

Product in market

WHAT TYPE OF INVESTMENT HAS THE BUSINESS RAISED?

Self funded

Private

Angel Investment

Venture Capital

Grant funding

Other

HOW MUCH WAS RAISED?

TELL US ABOUT YOUR PRODUCT OFFERING? HOW DOES IT WORK?

DOES THE BUSINESS OWN THE IP IN YOUR TECHNOLOGY/PRODUCT?

WHO ARE YOUR COMPETITORS? WHAT MAKES YOUR PRODUCT DIFFERENT / BETTER?

WHAT MARKETS / CHANNELS DO YOU OPERATE IN?

TELL US ABOUT YOUR TRACTION AND COMMERCIAL PROGRESS? TOP LINE FIGURES OF REVENUE AND # OF CUSTOMERS OVER LAST 12 MONTHS & 3 YEARS IF APPLICABLE

Business Goals

WHAT ARE YOUR BUSINESS GOALS IN NEXT 12 MONTHS (INCLUDING REVENUE FORECAST)

WHAT ARE YOUR KEY CHALLENGES? WHAT BARRIERS TO GROWTH DO YOU FACE?

WHERE DO YOU HOPE TO SEE THE BUSINESS IN 3 YEARS?

Founder/team information

WHO ARE YOUR FOUNDERS? ARE THEY FULL TIME IN BUSINESS?

NUMBER OF EMPLOYEES AND KEY ROLES

IF YOU ARE NOT A PRODUCER-LED BUSINESS, PLEASE PROVIDE DETAILS ON HOW YOU ENGAGE WITH PRODUCERS? EG. PRODUCER AS: CO_FOUNDER, ADVISORY BOARD, STRATEGIC CUSTOMER, INVESTOR ETC