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
- 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
Instagram Address
Corporate Information
Total Number of Founders?*
How many founders are women*
Is your company woman owned, co-owned or led?*
- Yes
- No
Female 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?*
Is your business location a
What is your 9-digit CRA Business Number?*
Is your Company Incorporated?*
- Yes
- No
Incorporate Date
What is the date of incorporation?
Date Format: MM slash DD slash YYYY
Incorporation Jurisdiction
- 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 your business is in*
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?*
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
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.
Notes to upload BMC
Accepted file types: 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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