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Startup Program Application Form
Personal Information
First Name of Applicant:
*
Last Name of Applicant:
*
Email:
*
Date of Application:
*
Name of Company:
*
Company street address:
*
City:
*
Province (optional):
Postal Code (optional):
Applicant Country:
*
Select one...
Website (optional):
Education:
*
Secondary
Post Secondary
Graduate
Educational Background:
*
Other Professional Designations (optional):
Year of business started:
*
N/A
Number of employee(s):
*
N/A
Business partners’ information:
*
Company Information
Current Revenue in CAD:
$0 - $100,000
$100,000 - $300,000
$300,000 - $500,000
$500,000 - $1,000,000
$1,000,000 - $2,000,000
$2,000,000+
Industry:
Advanced Manufacturing
Engineering / Architecture
Energy
Internet of Things
Big Data
Software Development
Artificial Intelligence
Current Revenue in CAD:
Robotics
Service Industry
Life Sciences
Financial Technology
Clean Technology
Healthcare
Growth Stage:
Idea
Prototyping
Small scale sales and manufacturing (Market test)
Rapid growth (Revenue increase over 50% every year)
Steady growth (Revenue increase over 10% every year)
Maturity and seek oversea business expansion
Number of existing customers:
*
Available Patents:
*
Business Description:
*
Do you have a current business plan and market research?
*
Financing
Funds available to invest & set up your business:
*
Total investment of the business up to date:
*
Thank you! Your submission has been received!
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