Form

Please complete the following fields to be considered for the Altitude Accelerator's Incubator 21 program

Primary contact first name*

Primary contact last name*

Company name*

Company website

Primary contact email*

Primary contact phone number*

Are you incorporated? If so, in what year? *

CRA Business Number - (HST Account) - 9 digits, no spaces*

Enter any active company social media pages (i.e. Twitter, LinkedIn, Facebook, Instagram, etc)

Describe your founder(s) and/or leadership team with a short description of each role and key points about their past experience*

How many employees do you currently have?*

How many employees are full-time?*

Briefly summarize your Value Proposition Statement: What is your solution? Who is it for specifically, and what value does it offer customers?*

Describe your technology in a bit more detail. What differentiates you from your competitors?*

What is your biggest current challenge and the next major milestone you want to achieve?*

What is your business model - how do you make money? (eg. SaaS, licensing fee, subscription, retail, wholesale)*

Approximately how much revenue have you generated over the past 12 months?*

List any other funding sources and amounts, including grants, investment from friends & family, and other investment*

Describe your current traction - this could be expressed as number of customers, number of units sold, strategic partnerships, etc.*

Is there anything else you'd like to tell us about your business?*

How did you hear about this program? (ie social, referral, ect)*

What Market Readiness Program are you interested in applying for?*

Fall 2024 September - December

Winter 2025 - February - April

Spring 2025 May - July

No preference

Upload your logo.
Please note that by submitting your logo, your logo may be used in Altitude Accelerator promotional materials*