The Radicle Inclusion Challenge by Nutrien -radicle.vc

Company Name*

Contact Name*

First Last

Title*

Email*

Phone*

Website

Key Team Members & Emails*

Who referred you?*

Company Stage*

Industry*

Herd Type

Hidden

Crop Type

Total Investment to Date*

Raise*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Investors*

Valuation Expectation

Location*

Have You Attended An Incubator/Accelerator?**

Have you attended more than one accelerator?

Which one?

Please supply the name

What Year?

Would you recommend your incubator/accelerator to other entrepreneurs?

Yes
No

LEADERSHIP

Founder

Founder Gender*

Founder Diversity*

Gender Comment

Diversity Comment

Executive Team

Percentage Male*

Percentage Black*

Percentage Female*

Percentage Indigenous*

Percentage Other*

Percentage Person of Color*

Gender Comment

Percentage None of the Above*

Diversity Comment

Board

Percentage Male*

Percentage Black*

Percentage Female*

Percentage Indigenous*

Percentage Other*

Percentage Person of Color*

Gender Comment

Percentage None of the Above*

Diversity Comment

POLICY

Do you have a diversity or inclusion policy/program?*

Yes
No

How often do you track or measure diversity?*

Monthly
Quarterly
Annually
Not at all

Do you report your D&I actions to your board?*

Yes
No

Do you consider D&I when recruiting, hiring and training?*

Yes
No

Do you consider D&I when selecting vendors?*

Yes
No

Company Description? (150 words)*

How did you start the company? (150 words)*

Tell Us About Yourself (150 words)*

Why Radicle? (150 words)*

Executive Summary or Pitch Deck

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The Radicle Inclusion Challenge by Nutrien

LEADERSHIP

Founder

Executive Team

Board

POLICY

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