Start-Up Program – Innovation Guelph

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Start-Up ProgramMichael Loveless2020-09-03T13:15:16+00:00

Start Up Program

Company Legal Name*
Operating as (if applicable)
Company Address
Street Number*
Street Name*
Unit Number
City*
Province
Postal Code*
Company Phone Number*
Company Website*
- Yes
- No
Website Address
- Co-Space Interest
Are you interested in a co-working space located at Innovation Guelph?
- Social Enterprise
Social Enterprises are revenue-generating businesses that pursue both profit and purpose. A social enterprise has two goals: to achieve social, cultural, community economic and/or environmental outcomes; and, to earn revenue.
- B Corporation or Benefit Corporation
Primary Contact
First Name*
Last Name*
Position Title*
Direct Phone Number*
Mobile
E-mail*
Your LinkedIN Address
Alternate Contact
First Name
Last Name
Position Title
Phone Number
Mobile
E-mail
Social Media
Social Media*
- Yes
- No
Twitter Address
Facebook Address
Company LinkedIn Address
Instagram Address
Tik Tok Address
Corporate Information
Total Number of Founders?*
How many founders are women*
Is your company woman owned, co-owned or led?*
- Yes
- No
Woman Designation*
Is your company youth owned or led(under 40)?
- Yes
- No
Youth Designation*
Do you belong to any of the following groups?
How many of your founders are Canadian born?*
Where is your business based?
What is your 9-digit CRA Business Number?*
Is your Company Incorporated?*
You must be considering incorporating to participate in most of Innovation Guelph's programs
- Yes
- No
Incorporate Date
What is the date of incorporation?
Date Format: MM slash DD slash YYYY
Incorporation Jurisdiction
Are you Considering Incorporating in the future?*
- Incorporated in Canada or Ontario
Fiscal Year-End Month
Traction - Total Employees (Including Owner/Founder)
Date*
Date Format: MM slash DD slash YYYY
How many full-time employees?*
How many part-time employees?*
In 30 words or less, give a brief description of your company*
Do you sell primarily products or services?
- Product
- Service
- Both
Please describe your product or service with specific examples
Traction - Investment
Date Investment Type Currency Investment Amount
Traction - Intellectual Property
Date Ip Type
Traction - Total Revenue
Date*
Date Format: MM slash DD slash YYYY
What was the company’s Annual Revenue of your most recent tax year*
Before Expenses in the most recent completed fiscal year
What is the stage of your business*
Year over Year “REVENUE’ growth*
- Not applicable
- Less than 25%
- 25 to 50%
- Over 50%
Traction - Stage
Please select the industry/sector of your business*
If Other*
What is your NAICS code?*
Click here to find your NAICS code.
What is your company’s primary focus?*
Agriculture - Other*
What is your company’s primary focus?*
Food and Beverage - Other*
What is your company’s primary focus?*
Forestry Other*
What is your company’s primary focus?*
Mining - Other*
What is your company’s primary focus?*
Financial Services - Other*
What is your company’s primary focus?*
Education - Other*
What is your company’s primary focus?*
Digital Media and ICT - Other*
What is your company’s primary focus?*
Clean Technologies - Other*
What is your company’s primary focus?*
Advanced Materials and Manufacturing - Other*
What is your company’s primary focus?*
Life Science and Advanced Health - Other*
What is your company’s primary focus?*
Tourism and Culture - Other*
Do you currently export?*
- Yes
- No
List the countries/regions
What is your current geographic market?
Do Not Use (What is your target geographic market)?*
- Local
- Provincial
- National
- International
Do you plan to export in the next 6-12 months?
- Yes
- No
Describe your ideal/target customer including demographics*
Please describe your product or service*
Program Specific Information
Program Type
Have you attended a Start Your Engines information session?*
- Yes
- No
What business components do you have in place?*
Tell us how and why these services would be of benefit?
What problem is your company solving?*
Tell us about the market opportunity*
What is the company’s competitive advantage?*
What are the top 3 challenges the company is facing?*
If Other*
In what ways can Innovation Guelph help your business?
If Other*
How many of your founders are aged 29 and under?*
How many of your founders are female?*
How many of your founders are Canadian born?*
For how many of your founders is this their first business venture?*
What do you see as your greatest strengths as a business owner and why?*
What areas would like to develop as a business owner*
Let us know what your plans for growth are for the next year.
Please list other organizations that you are working with and briefly describe what you are working on with them
What non-technical or personal areas would you like to develop that would make you a stronger leader and business owner? Please provide specific examples
Determination to succeed. Confidence. An understanding of community trends and needs
Business Model Canvas

Upload your Business Model Canvas here (optional).
Accepted file types: pdf.
Click to download the Business Model Canvas Fillable PDF
Is this business in operation
Closing Information
Date
Date Format: MM slash DD slash YYYY
Are you working with any other Innovation Centres*
- Yes
- No
If Yes*
How did you hear about this program?*
How did you hear about Innovation Guelph*
If Direct Referral*
If Other*
If Other Regional Innovation Centre*
*
- I acknowledge that I have read and agree to the Client Services Agreement which will come in to effect if I am accepted into any Innovation Guelph program (embedded link)
- I would like to receive email communications from Innovation Guelph (e.g. newsletter) regardless of the outcome of this application

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