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Intake Form :
Business Immigration Essentials Program (BIE) Summer 2023
Welcome!
Thank you for expressing interest in entrepreneurship & business at ConnexionWorks!
Please fill out this form below to tell us more about you, your interests, and your business experience. We will contact you to confirm your application and to ask for more details in case they are needed.
For any immediate questions, please connect with
the
ConnexionWorks
team at
programs@connexionworks.ca
to check how we can help you on your journey.
First name
*
Last name
*
What Pronouns do you use?
*
Email
*
Phone number
*
Street address
*
City
*
State/Region
*
Country/Region
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Country of Origin
Are you ?
*
Please Select
Canadian citizen
Foreign worker
International Student
Permanent resident
Visitor
Do you identify with any of the following? Check all that applies. (This information is helpful to our team as there are lots of additional support for individuals of the following groups)
*
Indigenous Peoples
African Canadian
Asian Canadian
Newcomer
Women
LGBTQ2+
Person with Disabilities
Military Veteran
Youth (under 30)
Senior (55+)
Student
Other
None of these
Prefer not to say
Why are you connecting with ConnexionWorks? Check all that apply.
*
Looking to start a business
Looking to grow/expand my existing business
Looking to see if entrepreneurship is for me
Looking to expand my business skills
Looking to meet likeminded people
Looking for a mentor or business coach
Other
Where are you on the entrepreneurial journey?
*
Please Select
Developing a new business idea/ prototype
Validating a new business idea
Piloting my startup
Looking to pivot my business
Growing and expanding my startup
Growing and expanding my small business
Closing my business
None of the above
Other
Do you have a Business
*
Yes
No
If no, Skip the next three Questions.
Please provide the name of your business
How is your business currently registered
Please Select
Not currently registered
Sole Proprietorship
For-Profit Corporation
Non-Profit Corporation
Unsure
What are the differentiators of your offer ?
Do you want to be an Entrepreneur?
*
Yes
No
If no to being an Entrepreneur, go to the end of the form.
Do you have any Idea for a Business. Please explain.
Please provide any internet links that help to understand your business/ Idea.
How much time are you able to work on you business/ Idea?
Full-Time
Part-Time
None
Other
Please add any other comment you may have.(challenges, barriers, previous experiences )
Submit