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Entrepreneur Application
Section 1: Personal Information
What is your first name?
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What is your last name?
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What is your email?
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We'd like to use the most respectful language when addressing you.
What are your pronouns?
Please Select
she/her
he/him
they/them
Other
Prefer not to say
he/they
she/they
What gender do you associate with?
*
Please Select
Male
Female
Non-Binary
Transgender
Genderqueer
Genderfluid
Agender
Two-Spirit
Prefer not to Disclose
Self-Describe (not listed)
What is your ethnic identity?
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Indigenous (e.g. First Nations, Métis, Inuit, Native American, Aboriginal or Torres Strait Islander, Māori)
Black (e.g. African, Caribbean, North American, Black British)
East Asian (e.g. Chinese, Japanese, Korean)
Hispanic or Latinx
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
South Asian (e.g. Bangladeshi, Bhutanese, Indian, Nepali, Pakistani, Sri Lankan)
Southeast Asian (e.g. Cambodian, Filipino, Indonesian, Laotian, Malaysian, Singaporean, Thai, Vietnamese)
White (e.g. European, North American, Pakeha)
West Asian (e.g. Iranian, Afghan, etc.)
Multiracial/biracial
Other
Prefer not to disclose
Section 2: Company Information (high-level)
What is your company's name?
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And website URL?
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When was your company founded?
In which city is your company located?
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And in which province or territory is your company located? Right now we are only working with Canadian companies.
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Please Select
Ontario
Quebec
Newfoundland and Labrador
Nova Scotia
Prince Edward Island
Manitoba
Saskatchewan
Alberta
British Columbia
Yukon Territories
NorthWest Territories
Nunavut
Country/Region
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Which sector/industry does your company operate in (select the best option)?
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Please Select
CleanTech (Clean Energy, Water, Air, Recycling & Waste, etc.)
ClimateTech (AgTech, Carbon Capture, Geo Engineering, etc.)
FinTech / Financial Services
Materials / Industrials / Manufacturing
Consumer Goods
Health / Wellness / Safety (HealthTech, Medical Equipment, Devices, etc.)
Mining / Oil & Gas
Education / EdTech
Hospitality / HR / Consulting
Other
Technology
AI
Which UN Sustainable Development Goals is your company contributing to?
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SDG 1: No Poverty
SDG 2: Zero Hunger
SDG 3: Good Health and Well-Being
SDG 4: Quality Education
SDG 5: Gender Equality
SDG 6: Clean Water and Sanitation
SDG 7: Affordable and Clean Energy
SDG 8: Decent Work and Economic Growth
SDG 9: Industry, Innovation, and Infrastructure
SDG 10: Reduced Inequalities
SDG 11: Sustainable Cities and Communities
SDG 12: Responsible Consumption and Production
SDG 13: Climate Action
SDG 14: Life Below Water
SDG 15: Life on Land
SDG 16: Peace, Justice and Strong Institutions
SDG 17: Partnerships
How many full-time employees does your company currently have (including yourself, if you're full-time)?
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Please Select
0 (all part-time)
1-2
3-4
5-10
11-15
15+
What stage is your business at?
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Please Select
Ideation
Prototype
Minimum Viable Product
Pilot
Revenue Generating
Closed
Pre-product (R&D stage)
Pre-revenue (MVP, but pre-commercialization)
In-market (Early sales)
Scaling-up (Growth)
What is your company's current monthly revenue?
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Average of last 3 months
Please Select
Pre-Launch $0
<$5,000
$5,000-$10,000
$10,000-$20,000
$20,000-$30,000
$30,000-$50,000
$50,000-$100,000
$100,000+
How many paying customers do you currently have?
Please Select
0
1-10
10-50
50-100
100-150
150-200
200+
What is your company's current valuation (in CAD)?
Please Select
$0-1m
$1-5m
$5-10m
$10-15m
$15-20m
$20-30m
$30-50m
$50m+
How much cash do you burn through each month?
How much cash do you have on hand?
How much are you hoping to raise?
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Please Select
$0-250k
$250-500k
$500k-1m
$1-3m
$3-5m
$5-10m
$10-12m
$12m+
Section 3: Company Information (in-depth)
Brief Company Description
3-4 sentences
What is the mission or purpose of your business?
What problem are you solving and for whom?
How does your company solve this problem and how does it earn income?
Environmental impact (with quantified metrics) & Revenue Model
What is your theory of change? What gaps are you filling to create positive impact on the problem that you identified?
What impact KPIs do you track or do you intend to track?
How will your business remain defensible to competition, if applicable?
Please list all primary management team members including a links to their LinkedIn profiles and their time commitment within the business (full-time or estimated part-time hours).
Please indicate any formal or informal advisors that work directly with your business.
What upcoming milestone(s) are you most excited about?
What is the current status of your fundraising?
Please Select
Not yet started
Exploring options
Preparing
Currently raising
Do you already have investments committed to your upcoming round? If so, who and for how much (approx.)?
What do you foresee as the most likely exit scenario and by when?
Section 4: Pitch Deck Upload
Please upload your pitch deck here.
Section 5: Declarations
I confirm that my company is incorporated.
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I confirm that my company is able to share, if asked, a complete corporate record history.
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If you were referred by a person/organization, please state their name.
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