Apply

Accelerator Submission Form
Name
First Last
Email
Phone
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*
Founder name\s*
Year founded*
Number of employees*
• Tell us a bit about your team (headcount structure, main stack holders, titles etc.)*
Introduction Video

Please provide a link to a video introducing your company & founders (optional)
Product Info
Insurance topic*
- Life
- Health
- P&C
- Liabilities
- Travel insurance
- Cyber insurance
- Fraud detections
- Underwriting
- IT
- Claims
- Other
Describe your product and tell us how it serves the insurance market*
Tell us about how your product impacts brokers*
What does the future hold for your product?*
Sales turnover*
- 0
- 1-100,000 $
- 100,000-1,000,000 $
- 1,00,000 $+
Scope of investment to date*
- 0
- 1-100,000 $
- 100,000-1,000,000 $
- 1,00,000 $+
• Please explain why it is important for you to take part in the Israeli Insurtech Accelerator program*
Tell us why you decided your start-up should participate in the Israeli Insurtech Accelerator program*
Please attach
Entrepreneur CV*
Drop files here or
Business presentation*
One pager*

Accelerator Submission Form