General Information
Tell Us About Your Startup
Business Address
Companies must be located in Maryland to qualify for the Maryland Momentum Fund.
Is the CEO with the company on a full-time basis?
Does your startup have one or more of the following relationships? (select all that apply)
Is your startup incorporated? (select one)
How far along is your startup? (select one)
Investor Name Amount Committed Operations
Investment round Investor Names Total Amount Invested Operations
Relationship to USM
Please select the institution the incubator is associated with and provide the incubator name.
Please Submit the Following Materials:
One file only.
256 MB limit.
Allowed types: txt pdf doc docx zip.
  • Problem Solved
  • Technology Status
  • Product/Market Fit
  • Risks
  • Competition
  • Partners
  • Company Timeline
  • Management/Team
  • Full Time Equivalent Employees
  • Use of Funds – How will you use the Momentum Fund funding and what is the next value adding milestone (often called the inflection point) at which the next financing would take place.
  • Current Funding – Amount of funding raised by company to date, if any.
  • Cap Table – Please indicate ownership percentages held by the current stakeholders.
  • Intellectual Property – If applicable, please outline any IP the company holds.
  • Exit Opportunities
  • Proposed Term Sheet (if structured) and/or: Total Amount of round, lead investor (if any) and how much committed, amount requested from the Momentum Fund, form (e.g. convertible note, convertible preferred, equity purchase), valuation (if equity), if convertible, proposed: length of note, automatic conversion triggers, valuation cap, discount rate, interest rate
  • Additional information about your company that you think would be helpful (optional)
Additional Support
What other support could the Momentum Fund provide that would be helpful in your endeavor? (select all that apply)