Prospect Form

We receive so many applications for funding that we aren’t able to look at them all in detail. In an attempt to get at least an indication of whether the company is likely to meet our criteria, we have developed a short form and would be grateful if you would provide brief answers (fewer than 20 words) to every question. Please download and complete the form, then email it to



We will ask to see the business plan/pitch deck of those who pass this initial screening. If you have not heard from us within 8 weeks, you should assume we have decided not to take your opportunity further at present.

a) Company name

b) Location

c) Contact Name and Role

d) Email address

e) When was company started?

f) What does the company do?



g) Source of Introduction to A5k

h) SEIS/EIS eligible

i) Size of round

j) How much of this round is already raised/committed?

k) Are you using crowdfunding?

l) What is the pre-money valuation?

m) What is unique/disruptive?



n) What is total of funding to date?

o) Any protected IP?

p) Have management successfully grown and exited a business before?


q) What is the total revenue to date?

r) What is the current annual revenue run rate (based on average of last 3 months)?

s) When cash positive?

t) Will further funding rounds be needed?

u) Assuming funding is raised, what revenue and EBITDA is forecast in 3 years?

v) Date round closes

Please download and complete the form, then email it to


Download Word document here ANGELS 5K –PROSPECT FORM