Start-Up Program

'SAVE AND CONTINUE LATER' Feature

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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?

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*

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

inv_id	Date	Investment Type	Currency	Investment Amount

Traction - Intellectual Property

ip_id	Date	Ip Type

Traction - Total Revenue

Date*

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.