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Intake Form: Venture Validation Program (VVP) Spring 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
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Last name
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What Pronouns do you use?
Email
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Phone number
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Street address
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City
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State/Region
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Country/Region
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Are you ?
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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)
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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.
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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?
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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
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Yes
No
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 problem does your business solve?
What are the differentiators of your offer ?
Do you have sales and/or have you started talking to potential customers? If so, how much have you sold? or, who are those potential customers?
Please provide any internet links that help to understand your business/ Idea.
What % of your time are you currently spending on the business / Idea?
Full-Time
Part-Time
None
Other
If other, how much?
What do you feel you need most?
Office Space
Mentorship
Coaching
Technical Expertise
Funding
Tell us about your team (Founders, supporters) - How many are them? What are their fields of expertise? What are their roles?
Please add any other comments you may have (challenges, barriers, previous experiences).
Submit