Form – Founders Program Application

Applicant name*

First Last

Applicant address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Do you identify as any of the following?*

There are a variety of funding options available. May select more than 1 option.

Company name*

Company address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Is your business registered?*

Yes
No

Is your business incorporated?*

Yes
No

How did you hear about the program?*

Tell us about your startup.

What problem do you solve for your market?*

How do you solve that problem?*

What is your business model?*

Have you, or are you considering, submitting a MITACS proposal?*

Yes
No

Tell us about your customer.

Who is your buyer?*

Who is the user?*

Tell us about your competition.

What makes you better?*

Tell us about you and your team.

Do you have any cofounders? If so, name them below.

What have you and your team accomplished?*

What expertise do you and your team bring to the table?*

What is your current time commitment to the startup?*

What is your team's current time commitment to the startup?*

What have you accomplished to date?

Share with us what you have done to date to launch your business?*

What have you accomplished?*

Revenue, users, MVP, capital raise, established partner relationships, advisor relationships established or anything you think can help us get a snapshot of where you're at.

How do you plan to grow?

What markets are you targeting?*

What partners are you targeting?*

What are your next milestones?*

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