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REAF Application Form
يمكنك العثور على النسخة العربية من الاستبيان من خلال الضغط على الزر في الزاوية اليمنى في اعلى الصفحة
Hello!
The REAF Ideathon will be held in Hasbaya. If you're interested, please fill in this form to share more information about your venture/startup and submit your full application. If you have any questions while applying, please contact us at reaf@berytech.org. All information will be kept confidential. As an estimation, it would take around 15-30 minutes to fill this form.
Please enter your email address
*
example@example.com
Startup/Venture Name
*
Phone Number
*
Please enter a valid phone number.
Startup Founding Year
*
Country
*
Please Select
Lebanon
Governorate
*
Please Select
Akkar
Baalbeck-Hermel
Beirut
Bekaa
Mount Lebanon
North Lebanon
Nabatiyeh
South Lebanon
District
*
Please Select
Akkar
Baalbek
Hermel
Beirut
Rashaya
Western Bekaa
Zahle
Byblos
Keserwan
Aley
Baabda
Chouf
Matn/Metn
Bint Jbeil
Hasbaya
Marjeyoun
Nabatieh
Batroun
Bsharri
Koura
Miniyeh-Danniyeh
Tripoli
Zgharta
Sidon
Jezzine
Tyre
Village Name
*
The district your startup operates in:
*
Please Select
Akkar
Baalbek
Hermel
Beirut
Rashaya
Western Bekaa
Zahle
Byblos
Keserwan
Aley
Baabda
Chouf
Matn/Metn
Bint Jbeil
Hasbaya
Marjeyoun
Nabatieh
Batroun
Bsharri
Koura
Miniyeh-Danniyeh
Tripoli
Zgharta
Sidon
Jezzine
Tyre
Startup Sector
*
Please Select
Agri-food
Circular Economy
Waste Management Valorization
Renewable Energy
Other
If Other, Specify
*
State your vision in 20 words or less. (what your startup desires to achieve in the long run )
*
0/20
In 300 Characters, describe the problem that your startup is trying to solve.
*
0/300
In 300 Characters, describe how your startup's solution tackles the problem.
*
0/300
What is the product readiness level of your solution?
*
Please Select
Idea stage
Proof of Concept (POV) evidence obtained from your pilot project.
Minimum Viable Product (MVP) An early, basic version of a product/service
How many team members do you have?
*
Please Select
1
2
3
4
>4
How long has your team worked together, and how did you meet?
*
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Save
Team Member 1
Kindly list the details of the first member on your team
Name
*
First Name
Father's Name
Last Name
Age Group
*
Please Select
18-29
30-35
36-50
51+
Gender
*
Please Select
Male
Female
Non-Binary
Nationality
*
Please Select
Lebanese
Afghan
Albanian
Algerian
Andorran
Angolan
Antiguan or Barbudan
Argentine
Armenian
Australian
Austrian
Azerbaijani, Azeri
Bahamian
Bahraini
Bengali
Barbadian
Belarusian
Belgian
Belizean
Beninese, Beninois
Bhutanese
Bolivian
Bosnian or Herzegovinian
Motswana, Botswanan
Brazilian
Bruneian
Bulgarian
Burkinabé
Burmese
Burundian
Cabo Verdean
Cambodian
Cameroonian
Canadian
Central African
Chadian
Chilean
Chinese
Colombian
Comoran, Comorian
Congolese
Congolese
Costa Rican
Ivorian
Croatian
Cuban
Cypriot
Czech
Danish
Djiboutian
Dominican
Dominican
Timorese
Ecuadorian
Egyptian
Salvadoran
Equatorial Guinean, Equatoguinean
Eritrean
Estonian
Ethiopian
Fijian
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Gibraltar
Greek, Hellenic
Grenadian
Guatemalan
Guinean
Bissau-Guinean
Guyanese
Haitian
Honduran
Hungarian, Magyar
Icelandic
Indian
Indonesian
Iranian, Persian
Iraqi
Irish
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakhstani, Kazakh
Kenyan
I-Kiribati
North Korean
South Korean
Kuwaiti
Kyrgyzstani, Kyrgyz, Kirgiz, Kirghiz
Lao, Laotian
Latvian, Lettish
Basotho
Liberian
Libyan
Liechtensteiner
Lithuanian
Luxembourg, Luxembourgish
Macedonian
Malagasy
Malawian
Malaysian
Maldivian
Malian, Malinese
Maltese
Marshallese
Martiniquais, Martinican
Mauritanian
Mauritian
Mexican
Micronesian
Moldovan
Monégasque, Monacan
Mongolian
Montenegrin
Moroccan
Mozambican
Namibian
Nauruan
Nepali, Nepalese
Dutch, Netherlandic
New Zealand, NZ, Zelanian
Nicaraguan
Nigerien
Nigerian
Northern Marianan
Norwegian
Omani
Pakistani
Palauan
Palestinian
Panamanian
Papua New Guinean, Papuan
Paraguayan
Peruvian
Filipino, Philippine
Polish
Portuguese
Puerto Rican
Qatari
Romanian
Russian
Rwandan
Kittitian or Nevisian
Saint Lucian
Saint Vincentian, Vincentian
Samoan
Sammarinese
São Toméan
Saudi, Saudi Arabian
Senegalese
Serbian
Seychellois
Sierra Leonean
Singapore, Singaporean
Slovak
Slovenian, Slovene
Solomon Island
Somali
South African
South Sudanese
Spanish
Sri Lankan
Sudanese
Surinamese
Swazi
Swedish
Swiss
Syrian
Tajikistani
Tanzanian
Thai
Timorese
Togolese
Tokelauan
Tongan
Trinidadian or Tobagonian
Tunisian
Turkish
Turkmen
Tuvaluan
Ugandan
Ukrainian
Emirati, Emirian, Emiri
UK, British
United States, U.S., American
Uruguayan
Uzbekistani, Uzbek
Ni-Vanuatu, Vanuatuan
Vatican
Venezuelan
Vietnamese
Yemeni
Zambian
Zimbabwean
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Position at startup
*
Level of Commitment at Startup
*
Please Select
Full-time
Part-time
Living with a disability?
*
Yes
No
Academic Background: Highest Educational Attainment
*
Please Select
No formal education
Primary education
Secondary education or high school
Technical degree
Bachelor's degree
Master's degree
Doctorate or higher
Are you currently working?
*
Yes
No
Company Sector
*
Agriculture and Farming
Blue Economy (Marine and Fisheries)
Circular Economy and Sustainability
Construction
Energy
Environment Clean
Life Sciences
Mobility - Transport - Automotive
Natural Resources
Other
Back
Next
Save
Team Member 2
Kindly list the details of the second member on your team
Name
*
First Name
Father's Name
Last Name
Age Group
*
Please Select
18-29
30-35
36-50
51+
Gender
*
Please Select
Male
Female
Non-Binary
Nationality
*
Please Select
Lebanese
Afghan
Albanian
Algerian
Andorran
Angolan
Antiguan or Barbudan
Argentine
Armenian
Australian
Austrian
Azerbaijani, Azeri
Bahamian
Bahraini
Bengali
Barbadian
Belarusian
Belgian
Belizean
Beninese, Beninois
Bhutanese
Bolivian
Bosnian or Herzegovinian
Motswana, Botswanan
Brazilian
Bruneian
Bulgarian
Burkinabé
Burmese
Burundian
Cabo Verdean
Cambodian
Cameroonian
Canadian
Central African
Chadian
Chilean
Chinese
Colombian
Comoran, Comorian
Congolese
Congolese
Costa Rican
Ivorian
Croatian
Cuban
Cypriot
Czech
Danish
Djiboutian
Dominican
Dominican
Timorese
Ecuadorian
Egyptian
Salvadoran
Equatorial Guinean, Equatoguinean
Eritrean
Estonian
Ethiopian
Fijian
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Gibraltar
Greek, Hellenic
Grenadian
Guatemalan
Guinean
Bissau-Guinean
Guyanese
Haitian
Honduran
Hungarian, Magyar
Icelandic
Indian
Indonesian
Iranian, Persian
Iraqi
Irish
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakhstani, Kazakh
Kenyan
I-Kiribati
North Korean
South Korean
Kuwaiti
Kyrgyzstani, Kyrgyz, Kirgiz, Kirghiz
Lao, Laotian
Latvian, Lettish
Basotho
Liberian
Libyan
Liechtensteiner
Lithuanian
Luxembourg, Luxembourgish
Macedonian
Malagasy
Malawian
Malaysian
Maldivian
Malian, Malinese
Maltese
Marshallese
Martiniquais, Martinican
Mauritanian
Mauritian
Mexican
Micronesian
Moldovan
Monégasque, Monacan
Mongolian
Montenegrin
Moroccan
Mozambican
Namibian
Nauruan
Nepali, Nepalese
Dutch, Netherlandic
New Zealand, NZ, Zelanian
Nicaraguan
Nigerien
Nigerian
Northern Marianan
Norwegian
Omani
Pakistani
Palauan
Palestinian
Panamanian
Papua New Guinean, Papuan
Paraguayan
Peruvian
Filipino, Philippine
Polish
Portuguese
Puerto Rican
Qatari
Romanian
Russian
Rwandan
Kittitian or Nevisian
Saint Lucian
Saint Vincentian, Vincentian
Samoan
Sammarinese
São Toméan
Saudi, Saudi Arabian
Senegalese
Serbian
Seychellois
Sierra Leonean
Singapore, Singaporean
Slovak
Slovenian, Slovene
Solomon Island
Somali
South African
South Sudanese
Spanish
Sri Lankan
Sudanese
Surinamese
Swazi
Swedish
Swiss
Syrian
Tajikistani
Tanzanian
Thai
Timorese
Togolese
Tokelauan
Tongan
Trinidadian or Tobagonian
Tunisian
Turkish
Turkmen
Tuvaluan
Ugandan
Ukrainian
Emirati, Emirian, Emiri
UK, British
United States, U.S., American
Uruguayan
Uzbekistani, Uzbek
Ni-Vanuatu, Vanuatuan
Vatican
Venezuelan
Vietnamese
Yemeni
Zambian
Zimbabwean
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Position at startup
*
Level of Commitment at Startup
*
Please Select
Full-time
Part-time
Living with a disability?
*
Yes
No
Academic Background: Highest Educational Attainment
*
Please Select
No formal education
Primary education
Secondary education or high school
Technical degree
Bachelor's degree
Master's degree
Doctorate or higher
Are you currently working?
*
Yes
No
Company Sector
*
Agriculture and Farming
Blue Economy (Marine and Fisheries)
Circular Economy and Sustainability
Construction
Energy
Environment Clean
Life Sciences
Mobility - Transport - Automotive
Natural Resources
Other
Back
Next
Save
Team Member 3
Kindly list the details of the third member on your team
Name
*
First Name
Father's Name
Last Name
Age Group
*
Please Select
18-29
30-35
36-50
51+
35-50
51+
Gender
*
Please Select
Male
Female
Non-Binary
Nationality
*
Please Select
Lebanese
Afghan
Albanian
Algerian
Andorran
Angolan
Antiguan or Barbudan
Argentine
Armenian
Australian
Austrian
Azerbaijani, Azeri
Bahamian
Bahraini
Bengali
Barbadian
Belarusian
Belgian
Belizean
Beninese, Beninois
Bhutanese
Bolivian
Bosnian or Herzegovinian
Motswana, Botswanan
Brazilian
Bruneian
Bulgarian
Burkinabé
Burmese
Burundian
Cabo Verdean
Cambodian
Cameroonian
Canadian
Central African
Chadian
Chilean
Chinese
Colombian
Comoran, Comorian
Congolese
Congolese
Costa Rican
Ivorian
Croatian
Cuban
Cypriot
Czech
Danish
Djiboutian
Dominican
Dominican
Timorese
Ecuadorian
Egyptian
Salvadoran
Equatorial Guinean, Equatoguinean
Eritrean
Estonian
Ethiopian
Fijian
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Gibraltar
Greek, Hellenic
Grenadian
Guatemalan
Guinean
Bissau-Guinean
Guyanese
Haitian
Honduran
Hungarian, Magyar
Icelandic
Indian
Indonesian
Iranian, Persian
Iraqi
Irish
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakhstani, Kazakh
Kenyan
I-Kiribati
North Korean
South Korean
Kuwaiti
Kyrgyzstani, Kyrgyz, Kirgiz, Kirghiz
Lao, Laotian
Latvian, Lettish
Basotho
Liberian
Libyan
Liechtensteiner
Lithuanian
Luxembourg, Luxembourgish
Macedonian
Malagasy
Malawian
Malaysian
Maldivian
Malian, Malinese
Maltese
Marshallese
Martiniquais, Martinican
Mauritanian
Mauritian
Mexican
Micronesian
Moldovan
Monégasque, Monacan
Mongolian
Montenegrin
Moroccan
Mozambican
Namibian
Nauruan
Nepali, Nepalese
Dutch, Netherlandic
New Zealand, NZ, Zelanian
Nicaraguan
Nigerien
Nigerian
Northern Marianan
Norwegian
Omani
Pakistani
Palauan
Palestinian
Panamanian
Papua New Guinean, Papuan
Paraguayan
Peruvian
Filipino, Philippine
Polish
Portuguese
Puerto Rican
Qatari
Romanian
Russian
Rwandan
Kittitian or Nevisian
Saint Lucian
Saint Vincentian, Vincentian
Samoan
Sammarinese
São Toméan
Saudi, Saudi Arabian
Senegalese
Serbian
Seychellois
Sierra Leonean
Singapore, Singaporean
Slovak
Slovenian, Slovene
Solomon Island
Somali
South African
South Sudanese
Spanish
Sri Lankan
Sudanese
Surinamese
Swazi
Swedish
Swiss
Syrian
Tajikistani
Tanzanian
Thai
Timorese
Togolese
Tokelauan
Tongan
Trinidadian or Tobagonian
Tunisian
Turkish
Turkmen
Tuvaluan
Ugandan
Ukrainian
Emirati, Emirian, Emiri
UK, British
United States, U.S., American
Uruguayan
Uzbekistani, Uzbek
Ni-Vanuatu, Vanuatuan
Vatican
Venezuelan
Vietnamese
Yemeni
Zambian
Zimbabwean
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Position at startup
*
Level of Commitment at Startup
*
Please Select
Full-time
Part-time
Living with a disability?
*
Yes
No
Academic Background: Highest Educational Attainment
*
Please Select
No formal education
Primary education
Secondary education or high school
Technical degree
Bachelor's degree
Master's degree
Doctorate or higher
Are you currently working?
*
Yes
No
Company Sector
*
Agriculture and Farming
Blue Economy (Marine and Fisheries)
Circular Economy and Sustainability
Construction
Energy
Environment Clean
Life Sciences
Mobility - Transport - Automotive
Natural Resources
Other
Back
Next
Save
Team Member 4
Kindly list the details of the forth member on your team
Name
*
First Name
Father's Name
Last Name
Age Group
*
Please Select
18-29
30-35
36-50
51+
Gender
*
Please Select
Male
Female
Non-Binary
Nationality
*
Please Select
Lebanese
Afghan
Albanian
Algerian
Andorran
Angolan
Antiguan or Barbudan
Argentine
Armenian
Australian
Austrian
Azerbaijani, Azeri
Bahamian
Bahraini
Bengali
Barbadian
Belarusian
Belgian
Belizean
Beninese, Beninois
Bhutanese
Bolivian
Bosnian or Herzegovinian
Motswana, Botswanan
Brazilian
Bruneian
Bulgarian
Burkinabé
Burmese
Burundian
Cabo Verdean
Cambodian
Cameroonian
Canadian
Central African
Chadian
Chilean
Chinese
Colombian
Comoran, Comorian
Congolese
Congolese
Costa Rican
Ivorian
Croatian
Cuban
Cypriot
Czech
Danish
Djiboutian
Dominican
Dominican
Timorese
Ecuadorian
Egyptian
Salvadoran
Equatorial Guinean, Equatoguinean
Eritrean
Estonian
Ethiopian
Fijian
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Gibraltar
Greek, Hellenic
Grenadian
Guatemalan
Guinean
Bissau-Guinean
Guyanese
Haitian
Honduran
Hungarian, Magyar
Icelandic
Indian
Indonesian
Iranian, Persian
Iraqi
Irish
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakhstani, Kazakh
Kenyan
I-Kiribati
North Korean
South Korean
Kuwaiti
Kyrgyzstani, Kyrgyz, Kirgiz, Kirghiz
Lao, Laotian
Latvian, Lettish
Basotho
Liberian
Libyan
Liechtensteiner
Lithuanian
Luxembourg, Luxembourgish
Macedonian
Malagasy
Malawian
Malaysian
Maldivian
Malian, Malinese
Maltese
Marshallese
Martiniquais, Martinican
Mauritanian
Mauritian
Mexican
Micronesian
Moldovan
Monégasque, Monacan
Mongolian
Montenegrin
Moroccan
Mozambican
Namibian
Nauruan
Nepali, Nepalese
Dutch, Netherlandic
New Zealand, NZ, Zelanian
Nicaraguan
Nigerien
Nigerian
Northern Marianan
Norwegian
Omani
Pakistani
Palauan
Palestinian
Panamanian
Papua New Guinean, Papuan
Paraguayan
Peruvian
Filipino, Philippine
Polish
Portuguese
Puerto Rican
Qatari
Romanian
Russian
Rwandan
Kittitian or Nevisian
Saint Lucian
Saint Vincentian, Vincentian
Samoan
Sammarinese
São Toméan
Saudi, Saudi Arabian
Senegalese
Serbian
Seychellois
Sierra Leonean
Singapore, Singaporean
Slovak
Slovenian, Slovene
Solomon Island
Somali
South African
South Sudanese
Spanish
Sri Lankan
Sudanese
Surinamese
Swazi
Swedish
Swiss
Syrian
Tajikistani
Tanzanian
Thai
Timorese
Togolese
Tokelauan
Tongan
Trinidadian or Tobagonian
Tunisian
Turkish
Turkmen
Tuvaluan
Ugandan
Ukrainian
Emirati, Emirian, Emiri
UK, British
United States, U.S., American
Uruguayan
Uzbekistani, Uzbek
Ni-Vanuatu, Vanuatuan
Vatican
Venezuelan
Vietnamese
Yemeni
Zambian
Zimbabwean
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Position at startup
*
Level of Commitment at Startup
*
Please Select
Full-time
Part-time
Living with a disability?
*
Yes
No
Academic Background: Highest Educational Attainment
*
Please Select
No formal education
Primary education
Secondary education or high school
Technical degree
Bachelor's degree
Master's degree
Doctorate or higher
Are you currently working?
*
Yes
No
Company Sector
*
Agriculture and Farming
Blue Economy (Marine and Fisheries)
Circular Economy and Sustainability
Construction
Energy
Environment Clean
Life Sciences
Mobility - Transport - Automotive
Natural Resources
Other
Back
Next
Save
Have you previously joined an incubator/accelerator?
*
Yes
No
If yes, kindly specify which incubator/accelerator:
*
Are you currently part of an incubator/accelerator?
*
Yes
No
If yes, kindly specify which incubator/accelerator:
*
Have you received grants or raised capital?
*
Yes
No
If yes, kindly list the name of individual or institution, value (in currency received), date, and equity distribution.
*
Rank the services provided by the REAF Incubator Program according to your interest (with 1 being the most important and 4 being the least important).
*
Rank
Workshops
1-on-1 Mentoring with experts
Grants
Exposure and Networking
Please provide your startup’s website and/or social media handles (if you have any).
Handle/URL
Website
Facebook
Twitter
Instagram
LinkedIn
How did you hear about REAF program?
*
Direct contact with Berytech team
Berytech Facebook
Berytech Instagram
Berytech LinkedIn
Berytech Twitter
Online Search
Berytech Emails
Referral
Read in the news
Outreach event
Other
Would you be interested in joining the ideathon if it was online?
*
Yes
No
Do you have the capabilities of joining the ideathon if it was online (Laptop, Internet Connection, ...) ?
*
Yes
No
I confirm and acknowledge that by submitting this application, I have provided accurate and truthful answers to all previously asked questions.
*
I confirm
Please write your full name
*
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