Account Details

Race/Ethnicity * Black or African American Hispanic or Latinx White or Caucasian Asian American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Prefer not to say Other

Gender * Woman Man Non-binary Transgender Intersex None of the above I prefer not to say

I self identify as a part of the following affiliated communities * Disabled Community LGBTQIA+ Community Military & Veteran Community Other None of the above

Age Range * Under 18 18 - 29 30 - 39 40 - 49 50+

Caretaker/Dependents * Yes- Children Yes- Family Members Yes- Aging Parents No

Company Name *

Title *

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Education Level * GED Associates Degree Bachelors Degree Masters Degree Doctoral Degree Prefer not to say High School Diploma

Occupation * Professional Professional with a side hustle Entrepreneur / Founder / Business Owner Investor / VC / Banker Entrepreneur Support Organization (i.e. nonprofit or accelerator) Other

Professional Level * Entry Level Intermediate (1-2 years) Mid-Level (3-5 years) Mid-level & Executive (6-9 years) C-Suite Executive-Level (10 or more years) Prefer not to say

Why are you attending Roadmap to Billions? * Employment opportunities Meet investors Meet like minded founders Learn about scaling a business I want to make a move into tech Other

What type of position are you in? * Technical - i.e. engineering, product development, or UX/UI design Non-Technical - i.e. marketing, sales or HR Other

Business Stage * Idea Stage (concept development) MVP (customer validation) Startup Stage (product-market fit) Growth Stage (growing revenue) Expansion Stage (massive scaling) Mature Stage (stable, established) Looking to exit N/A

What industry is your business in? Cybersecurity Food Tech Life Sciences Virtual Reality Travel/Transportation Hardware Real estate SaaS Ad Tech/Mar Tech Educational Tech Financial Tech HR Internet Entertainment Health Aerospace Diversity/Inclusion Retail Tech Fashion/Beauty Other

Are you interested in participating in Pitch Competition? * Yes No

Are you interested in meeting with Investors about your scalable startup? * Yes No

Are you interested in learning about job opportunities from our Partners? * Yes No