Startup Application Portal

1

Lead Applicant / Founder Information

Full Name *

Email Address *

Phone Number *

City / State *

2

Team Background

Describe your team and key members *

LinkedIn Profiles (Optional)

3

Startup / Project Overview

Applicant Pathway *

Registered Startup / Company Students at Educational Institution

Startup Name *

Year Founded *

Development Stage *

Business Plan Summary *

Estimated Market Size *

Problem Statement *

Disability Focus *

Mobility Impairment ✕

Visual Impairment ✕

Hearing Impairment ✕

4

Target Users & UVP

Target Users *

Unique Value Proposition (UVP) *

5

AT-Specific Questions

Co-design Approach *

Accessibility Compliance *

Yes, fully accessible and compliant with relevant standards In progress — undergoing accessibility improvements Not yet started

6

File Uploads & Demo Video

Pitch Deck / Project Presentation (PDF/PPT) *

Drag and drop your file here
or click to browse

PDF or PPT only • Max 20 MB

Prototype Files or Images (Optional)

Drag and drop images/files
or click to browse

JPG, PNG, ZIP • Max 50 MB

Demo Video Link *

Provide a public link (YouTube, Vimeo, etc.)

7

Review & Submit

Please ensure all mandatory fields are completed accurately before submitting your application to the Assistive Technology Accelerator.

Agreement: By submitting, you confirm that your solution complies with the eligibility criteria, including a focus on disability impact and co-design principles.

I confirm that the information provided is accurate and I agree to the eligibility terms above. *

Samarthanam Trust for the Disabled