Form

Planet Hatch's Membership Form

By filling out this form, you agree to allow Planet Hatch to use these metrics for reporting purposes. You, nor your business name will ever be released or attached to these metrics.
This form is 100% confidential.

Company name*

First name*

Primary point of contact

Last name*

Primary point of contact

Email*

Primary point of contact

Phone number*

Primary point of contact

Website URL

Company Logo

Would you like to be featured in any of the following?

Entry Welcome Display

Social Media Welcome Post

Planet Hatch Website

CRA Business Number*

Description

Who are your competitors?*

What makes you unique from your competitors?*

Is your company legally incorporated?

Yes

Number of founders/owners*

Number of founders that identify as female*

Number of founders currently age 39 or under*

Number of founders that were born outside of Canada*

Number of founders that identify as an Indigenous person*

Number of founders where this is their first venture*

How many founders identify as a visible minority (Racialized, Black, and/or People of Colour)?

How many founders self identify as LGBTQ2+?

Number of full-time employees*

Including founders

Number of part-time employees*

Including founders

List of employees and their roles*

Are your main corporate headquarters located in Canada?*

Yes

Number of establishments in Canada*

Number of establishments outside of Canada*

Which best describes the development stage of the business?*

Ideation (Idea generation, prototype/MVP creation)

Validation (Determining position and fit in identified markets)

Growth (Established position, increasing sales and profit margins)

Maturity (Well established, customer base, well-known product, annual recurring revenue)

Your business' revenue stage is currently best described as*

Pre-revenue (Not yet making money)

Monthly Recurring Revenue (Steady stream of revenue every month)

In between

In the last calendar year, what was the business' total sales revenue?*

Do NOT include investments, grants, prizes, or other cash that did not come from customers

In the last calendar year, what was the business' sales revenue in Canada?*

Do NOT include investments, grants, prizes, or other cash that did not come from customers

In the last calendar year, what was the business' sales revenue outside of Canada?*

Do NOT include investments, grants, prizes, or other cash that did not come from customers

What are your revenue streams?*

How do you make money?

Are you profitable? *

As of today, how many active patent applications does your business have?*

Applications currently being reviewed/processed

As of today, how many granted patents does your business have?*

Owned patents

Does your business currently export your product or are you looking to export?*

Currently exporting

Interested in exporting

Neither

Have you/your business used accelerator, incubator, or other business/entrepreneur support programs in the past?*

Yes

What methods of support are you looking for?*

Check all that apply

Programming

Funding

Mentorship (Access to Planet Hatch's expansive mentor network)

Coaching (Business counselling from Planet Hatch's Business Startup Specialist)

Facilities (Access to Planet Hatch space)

Aside from the above, what are three areas in which you could use Planet Hatch's support to help grow/support your business?*

Describe your long-term goals*

5+ years

How many seats will you require with your membership?*

$230 for 1st seat; $85 or each additional seat (taxes not included)

When do you plan to use Planet Hatch?*

Check all that apply

During regular business hours (8:30am-4:30pm)

After hours (After 4:30pm)

On weekends

How long do you intend on keeping your Planet Hatch membership?*

0-6 months

6-12 months

12+ months

Will your business require a mailbox at Planet Hatch?*

Yes

Will you require printing services at Planet Hatch?*

$50 for 800 printing credits

Yes

How did you hear about Planet Hatch?*

Sign me up for the Planet Hatch Newsletter!