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Accelerator Submission Form
Name*
First Last
Email*
LinkedIn*
Phone*
Role*
Does your product / solution fit the Insurtech industry?*
- Yes
- No
Your company’s home base is located in*
- Israel
- Other
Company Info
Start-up name*
Start-up website*
Year founded*
Founder name\s*
Number of employees*
Sales turnover*
- 0
- 1-100,000 $
- 100,000-1,000,000 $
- 1,000,000 $+
Scope of investment to date*
- 0
- 1-100,000 $
- 100,000-1,000,000 $
- 1,000,000 $+
Introduction Video

Please provide a link to a video introducing your company & founders (optional)
• Tell us about your team (headcount structure, main stakeholders, titles etc.)*
Product Info
Insurance topic*
- Life
- Health
- P&C
- Liabilities
- Travel insurance
- Cyber insurance
- Fraud detections
- Underwriting
- IT
- Claims
- Other
Please describe your product, how it serves the insurance market and impacts brokers*
Please describe your business model*
Please describe your market*
Please name your main competitors*
What does the future hold for your product?*
Please explain why it is important for you to take part in the Israeli Insurtech Accelerator program*
Please attach
Entrepreneur CV*
Drop files here or

Max. file size: 512 MB.
Business presentation*
Max. file size: 512 MB.
One pager*
Max. file size: 512 MB.
Untitled

Accelerator Submission Form