*Start-up oder Projektame / Start-up or project name

*Die Start-up Idee in zwei Sätze/ The idea of the start-up in two sentences

*Vorname/ First Name

*Nachname/ Last Name

*Email

*Telefonnummer/ Phone Number

*Land/ Country

Stadt/ City

Was erwartest Du,bzw wünschst Du Dir von DICA?/ What do you expect from DICA?

Wie hast Du von DICA erfahren?/ How did you learn about DICA
---Info-Email/ Direct MailingSocial MediaPressMund zu Mund/Word of MouthDICA-Partnerother

*UPLOAD Ideenpapier/ idea paper (pdf, max 10 MB) - Infos zum Ideenpapier/ Information for idea paper

Video Upload Link (Optional, not mandatory)- please take a short video of yourself explaining to us in English about you

Anmerkung!/ Please note:
Dieses Formular kann nur mit Zustimmung zur Datenbestimmung abgeschickt werden.
The form can be sent only with the agreement to the data security explanation!

Ich stimme zu/ I agree