Start Up Program Application Form

Start Up Program

'SAVE AND CONTINUE LATER' Feature

If you would like to save a draft of this form submission before you submit, you can use the 'Save And Continue Later' feature at the bottom of the form next to the 'Submit' button.

This feature will provide you with a link and request your email address (optional) if you would like the link sent to your email. Please copy and save this link to return to your form when you are ready to complete your application. Please note that this link will expire after 30 days.

If you have any difficulties submitting this form, please use this feature and forward the email you receive to info@innovationguelph.ca with a note to inform us about your difficulties. We will be able to view the saved data and provide support to help get your application submitted.

PLEASE CHECK YOUR SPAM FOLDER IF YOU DON'T RECEIVE THE EMAIL.

Company Legal Name(Required)

Operating as (if applicable)

Company Address

Street Number(Required)

Street Name(Required)

Unit Number

City(Required)

Province

County(Required)

Postal Code(Required)

Company Phone Number(Required)

Company Website(Required)

Yes

Website Address

Are you interested in a co-working space located at Innovation Guelph?

Co-Space Interest

Are you interested in a co-working space located at Innovation Guelph?

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.

Social Enterprise

B Corporation or Benefit Corporation

Primary Contact

First Name(Required)

Last Name(Required)

Position Title(Required)

Direct Phone Number(Required)

Mobile

E-mail(Required)

Your LinkedIN Address

Alternate Contact

First Name

Last Name

Position Title

Phone Number

Mobile

E-mail

Social Media

Social Media(Required)

Yes

Twitter Address

Facebook Address

Company LinkedIn Address

Instagram Address

Tik Tok Address

Corporate Information

Total Number of Founders?(Required)

How many founders are women(Required)

Is your company woman owned, co-owned or led?(Required)

Yes

What % of your company is woman co-owner or co-led?(Required)

Woman Designation(Required)

Is your company youth owned or led(under 40)?

Yes

Youth Designation(Required)

Hidden

Do you belong to any of the following groups?

How many of your founders are Canadian born?(Required)

Hidden

Do you require any accommodations?

Do you require any accommodations?(Required)

Yes

What are your requirements?

IG strives to accommodate clients’ needs wherever possible. We cannot guarantee all specific requirements can be met at this time. However, this information will be used to increase our awareness of where we can seek funding to improve accessibility.

Where is your business based?

What is your 9-digit CRA Business Number?(Required)

Is your Company Incorporated?(Required)

You must be considering incorporating to participate in most of Innovation Guelph's programs

Yes

Incorporate Date

Hidden

What is the date of incorporation?

MM slash DD slash YYYY

Incorporation Jurisdiction

Are you Considering Incorporating in the future?(Required)

Hidden

Incorporated in Canada or Ontario

Fiscal Year-End Month

Traction

Total Employees (Including Owner/Founder)

Hidden

Date(Required)

MM slash DD slash YYYY

How many full-time employees?(Required)

How many part-time employees?(Required)

In 30 words or less, give a brief description of your company(Required)

Do you sell primarily products or services?

Product

Service

Both

Please describe your product or service with specific examples

Investment

inv_id

Date

Investment Type

Currency

Investment Amount

Intellectual Property

ip_id

Date

Ip Type

Total Revenue

Hidden

Date(Required)

MM slash DD slash YYYY

What was the company’s Annual Revenue of your most recent tax year(Required)

Before Expenses in the most recent completed fiscal year

What is the stage of your business(Required)

Year over Year “REVENUE’ growth(Required)

Not applicable

Less than 25%

25 to 50%

Over 50%

Stage

Please select the industry/sector of your business(Required)

If Other(Required)

What is your NAICS code?(Required)

Click here to find your NAICS code.

The code must be 5 digits (11114 for Wheat farming).