18 Oct Apply with project GREENLAB_Application project holders_EN If you are human, leave this field blank. Last name * First name * Address Zip code City * Phone number * E-mail address * Age * > 20 years old between 21 and 30 years old between 31 and 40 years old between 41 and 50 years old between 51 and 60 years old < 60 years old What level of education have you completed? * Primary education Lower secondary education Higher secondary education Vocational diploma Bachelor's degree Master's degree Complementary master's PhD Other : What level of education have you completed? Briefly outline your education: * What is your employment status? * Employee Job seeker Self-employed Final year student Retired Other : What is your employment status? Briefly outline your professional background: * Have you ever launched a business before? * Yes No Are you willing to become part time self-employed? * Yes No Briefly summarise your project: * What field is your project in? * Renewable energy Sustainable transport Short supply chains Upcycling Functional economy Sustainable food Sustainable equipment (ecodesign, etc.) Sustainable construction Other : Do It Yourself Sharing economy What field is your project in? What stage are you at? * Idea Prototyping Test First sales Search for funding Other : What stage are you at? Have you already made a business plan and/or financial plan? * Yes No How do you think the greenlab.brussels programme can help you? * Have you experienced legislative obstacles/barriers to your project? * Yes No If so, what? Are you already receiving support? * Yes No If so, from which structure? Do you already have a team (who intend to participate in greenlab)? * Yes No If yes, how many members does it have (including yourself)? 2 3 4 5 If no, are you willing to go into partnership with an independent applicant? Yes No Founding a start-up demands a great deal of time and flexibility… Are you willing to devote an average of 8 to 10 hours per week to developing your project for the length of the programme (including 3 hour workshops on Wednesdays)? * Yes No Taking the plunge into the world of business takes time... and money. Do you have some financial savings to invest in your project (for example for creating a prototype, designing a website, etc.)? * Yes No If you are admitted to the accelerator, do you commit to creating an initial prototype before the grand finale? * Yes No How did you first hear about greenlab.brussels? * Word of mouth Posters Brochures Social networks (Facebook, Twitter, LinkedIn, etc.) Press Google or any other search engine A support structure Other : STIB (public transport) How did you first hear about greenlab.brussels?