Quantum Drive Application Form

‘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@boundlessaccelerator.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.

An Investment Readiness Program By Boundless Accelerator

Company Legal Name(Required)

Operating as (if applicable)

This field is hidden when viewing the form

Are you interested in a co-working space located at Boundless Accelerator?

Co-Space Interest

Are you interested in a co-working space located at Boundless Accelerator?

This field is hidden when viewing the form

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

This field is hidden when viewing the form

B Corporation or Benefit Corporation

PRIMARY CONTACT

First Name(Required)

Last Name(Required)

Pronouns

Pronouns are the part of speech used to refer to someone in the third person. We want to know how to respectfully refer to you! Example: She/her, he/him, they/them, ze/hir/hirs (Non-exhaustive list)

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

CORPORATE INFORMATION

Total Number of Founders?(Required)

Please enter a number greater than or equal to 0.

Is your company youth owned or led?(Required)

Age 39 or Younger

Yes

Youth Designation(Required)

This field is hidden when viewing the form

How many founders are women(Required)

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

Yes

This field is hidden when viewing the form

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

Woman Designation(Required)

This field is hidden when viewing the form

Do you belong to any of the following groups?

This field is hidden when viewing the form

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

This field is hidden when viewing the form

Do you require any accommodations?

This field is hidden when viewing the form

Do you require any accommodations?(Required)

Yes

This field is hidden when viewing the form

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?(Required)

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

When did you begin working on the business?(Required)

Is your Company Incorporated?(Required)

NOTE: all companies must be incorporated (or in the process) to participate in this program.

Yes

Incorporate Date(Required)

Incorporation Jurisdiction(Required)

Are you Considering Incorporating in the future?(Required)

This field is hidden when viewing the form

Incorporated in Canada or Ontario

Fiscal Year-End Month(Required)

Do you belong to any of the following groups?(Required)

Answering this question in detail is optional. You may choose not to answer, and that’s okay (just click prefer not to answer)! Why are we asking? Currently, some investors/funders prefer to focus their investment in particular “groups” and/or “buckets”. When we know where/if you identify in any of these areas, it can help to introduce you to the the more focused opportunities if, and when they arise.

Do you sell primarily products or services?(Required)

Products

Services

Both

Please describe your product or service with specific examples

Why is your team the right team to bring your solution to market?(Required)

The status of your Bookkeeping/Financial Records is(Required)

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

What problem is your company solving? (Max 50 words)(Required)

How do you solve your target market’s problems? What are those problems?

Name your top 2 competitors(Required)

Explain what your unique differentiator is for your business. (Max 50 words)(Required)

A unique differentiator is a characteristic of your business that separates you from key competitors and gives you a perceived advantage in the eyes of your target audience.

Are you a Social Enterprise?

Yes

SOCIAL MEDIA

Social Media(Required)

Yes

Twitter Address

Facebook Address

Instagram Address

Company LinkedIn Address

Tik Tok Address

Pinterest Address

Other

TRACTION INFORMATION

Employment

This field is hidden when viewing the form

Date(Required)

How many full-time employees?(Required)

Please enter a number greater than or equal to 0.

How many part-time employees?(Required)

Please enter a number greater than or equal to 0.

How many contract employees?(Required)

Please enter a number greater than or equal to 0.

How many interns and/or co-op placements?(Required)

Amount (CAD $)

Please enter a number greater than or equal to 0.

Date

The business is looking to raise funding in the next 12-18 months (or is currently raising)(Required)

This funding can be observed as equity raises (angel/vc), low interest loans and/or grants.

Yes

Undecided

How much are you looking to raise/ask for (in CAD$)?

Please enter a number greater than or equal to 0.

Please briefly explain your answer.(Required)

Intellectual Property

Have you filed for, or been granted, any intellectual property during this timeframe? If yes, please list them here.

Intellectual Property

ip_id

Date

Country

If Other(Country)

IP Type

If Other (IP Type)

Revenue

This field is hidden when viewing the form

Date(Required)

What was the company’s Latest Calendar Year Revenue ($CAD)(Required)

Keep in mind that this timeframe may be different from your Fiscal Year.

Gross sales revenue (before expenses)

Please enter a number greater than or equal to 0.

Calendar Year(Required)

Do you currently export?(Required)

Yes

Do you plan to export in the next 6-12 months?

Yes

Where do you currently Export to?(Required)

What was the total export revenue(sales outside of Canada)?(Required)

Keep in mind that this timeframe may be different from your Fiscal Year.

Portion of gross sales revenue (before expenses) sold outside of Canada (export)

Please enter a number greater than or equal to 0.

This calendar year projected/target REVENUE (trending sales) in CAD$(Required)

Gross sales revenue (before expenses)

Please enter a number greater than or equal to 0.

Do you have an up-to-date business plan? (Many use a business model canvas).(Required)

Yes

I have a plan, but it’s not up-to-date

This field is hidden when viewing the form

Year over Year “REVENUE’ growth(Required)

Not applicable

Less than 25%

25 to 50%

Over 50%

STAGE

What is the stage of your business(Required)

Idea	Entrepreneur with idea; initial market and technology exploration
Discovery	Value proposition established; testing ideas; proof of concept; identifying customers; early financials; Friends and Family funding
Validation	Business model established; minimum viable product; customer verified; initial orders; testing go-to-market strategy; pursuing angel funding or in accelerator
Efficiency	Initial market traction; scaling sales and marketing; demand creation; forecasting based on actuals; pursuing early stage VC
Scale	Validated product and market; customer growth; established management team; pursuing later-stage investment

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

If Other(Required)

What is your NAICS code?(Required)

To find yours, copy, paste in your browser: https://www23.statcan.gc.ca/imdb/p3VD.pl?Function=getVD&TVD=1181553

Example: 11133 is the NAICS code for establishments primarily engaged in growing apples.

This field is hidden when viewing the form

What is your company’s primary focus?(Required)

This field is hidden when viewing the form

Agriculture – Other(Required)

This field is hidden when viewing the form

What is your company’s primary focus?(Required)

This field is hidden when viewing the form

Food and Beverage – Other(Required)

This field is hidden when viewing the form

What is your company’s primary focus?(Required)

This field is hidden when viewing the form

Forestry Other(Required)

This field is hidden when viewing the form

What is your company’s primary focus?(Required)

This field is hidden when viewing the form

Mining – Other(Required)

This field is hidden when viewing the form

What is your company’s primary focus?(Required)

This field is hidden when viewing the form

Financial Services – Other(Required)

This field is hidden when viewing the form

What is your company’s primary focus?(Required)

This field is hidden when viewing the form

Education – Other(Required)

This field is hidden when viewing the form

What is your company’s primary focus?(Required)

This field is hidden when viewing the form

Digital Media and ICT – Other(Required)

This field is hidden when viewing the form

What is your company’s primary focus?(Required)

This field is hidden when viewing the form

Clean Technologies – Other(Required)

This field is hidden when viewing the form

What is your company’s primary focus?(Required)

This field is hidden when viewing the form

Advanced Materials and Manufacturing – Other(Required)

This field is hidden when viewing the form

What is your company’s primary focus?(Required)

This field is hidden when viewing the form

Life Science and Advanced Health – Other(Required)

This field is hidden when viewing the form

What is your company’s primary focus?(Required)

This field is hidden when viewing the form

Tourism and Culture – Other(Required)

This field is hidden when viewing the form

List the countries/regions

This field is hidden when viewing the form

What is your current geographic market?

This field is hidden when viewing the form

Do Not Use (What is your target geographic market)?(Required)

Local

Provincial

National

International

Describe your ideal/target customer including demographics (Max 100 words)(Required)

This field is hidden when viewing the form

Please describe your product or service(Required)

PROGRAM SPECIFIC INFORMATION

This field is hidden when viewing the form

Program Type

This field is hidden when viewing the form

Have you attended a Start Your Engines information session?

Yes

This field is hidden when viewing the form

In what ways can Boundless Accelerator help your business?(Required)

This field is hidden when viewing the form

If Other(Required)

The Quantum Drive Program will culminate in a pitch competition and award three founders with cash prizes (2x $5000 prizes and one grand prize of $10,000). Tell us WHY you need the grand prize and what it will do for your company.(Required)

This field is hidden when viewing the form

What business components do you have in place?(Required)

This field is hidden when viewing the form

Describe what you will do with the funding (Max 150 words). How urgently do you need this amount?(Required)

What will happen if you DO NOT raise this money? (Max 150 words). Risk mitigation in place / backup plan?(Required)

Describe your experience to date with raising funding. (Max 100 words)(Required)

This field is hidden when viewing the form

What are the top 3 challenges the company is facing?(Required)

This field is hidden when viewing the form

If Other(Required)

This field is hidden when viewing the form

How many of your founders are aged 29 and under?(Required)

This field is hidden when viewing the form

How many of your founders are female?(Required)

This field is hidden when viewing the form

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

This field is hidden when viewing the form

For how many of your founders is this their first business venture?(Required)

What has been your biggest obstacle in growing this business? Tell us how you plan to overcome it. What, other than cash, do you need to do so? (Max 200 words)(Required)

Rate your knowledge of the investment/funding arena here in Canada. Do you know all of your options?(Required)

1 star, don’t understand
2 stars, minimal understanding
3 stars, modest understanding
4 stars, confident in my knowledge
5 stars, I could teach this to others, I know a lot.

5. I could teach this to others, I know a lot.

4. Confident in my knowledge

3. Modest understanding

2. Minimal understanding

1. Don’t understand

Rate you comfort level talking about your business in front of others? Consider your elevator pitch, Q&A, sales meetings, tradeshows and/or investment pitch meetings.(Required)

1 star, I need a lot of help
2 stars, I need some help
3 stars, I’m okay at this
4 stars, I’ve almost got this down pat
5 stars, I could teach this to others, I do this with ease.

5. I could teach this to others, I do this with ease.

4. I’ve almost got this down pat

3. I’m okay at this

2. I need some help

1. I need a lot of help

How happy would an investor be, looking at your financial books right now?(Required)

1 star, what financial tracking?
2 stars, they are inconsistent at best
3 stars, I don’t know what I need, but they are okay
4 stars, I have a system that works for me
5 stars, investors have raved about my financial tracking, plans and graphs.

5. Investors have raved about my financial tracking, plans and graphs.

4. I have a system that works for me

3. I don’t know what I need, but they are okay

2. They are inconsistent at best

1. What financial tracking?

Often, people and organizations invest in businesses because the founders are impressive and unique. What makes YOU the right person for an investment? (Max 30 words)(Required)

What is unique about your business that makes it the right choice for this program? (Max 30 words)(Required)

This program includes virtual education and mentorship, and two in-person sessions in Guelph (a Pitch Practice Day, and The Big Pitch Event). Are you able to commit to these program requirements?(Required)

**Note: ACTIVE participation in this course is mandatory. It is limited to only 10 companies at a time, so your commitment to attend all sessions is imperative.

Yes!

Undecided

This field is hidden when viewing the form

What areas would like to develop as a business owner(Required)

This field is hidden when viewing the form

Let us know what your plans for growth are for the next year.(Required)

This field is hidden when viewing the form

Please list other organizations that you are working with and briefly describe what you are working on with them

This field is hidden when viewing the form

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

This field is hidden when viewing the form

DO NOT USE ????Determination to succeed. Confidence. An understanding of community trends and needs

Business Model Canvas

Upload your Business Model Canvas here (optional).

This field is hidden when viewing the form

Accepted file types: pdf, Max. file size: 300 MB.

Click to download the Business Model Canvas Fillable PDF

This field is hidden when viewing the form

Is this business in operation

This field is hidden when viewing the form

Closing Information

This field is hidden when viewing the form

Date

This field is hidden when viewing the form

Are you working with any other Boundless Accelerator(Required)

Yes

This field is hidden when viewing the form

If Yes(Required)

This field is hidden when viewing the form

How did you hear about this program?(Required)

This field is hidden when viewing the form

How did you hear about Boundless Accelerator(Required)

This field is hidden when viewing the form

If Direct Referral(Required)

This field is hidden when viewing the form

If Other(Required)

This field is hidden when viewing the form

If Other Regional Innovation Centre(Required)

Client Services Agreement(Required)

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 Boundless Accelerator program (embedded link)

Click Here to view the agreement.

Agree to complete surveys up to 2 years post-program(Required)

If accepted, I agree to complete all Boundless Accelerator surveys up to and including 2 years post program completion.

Request for Permission

I would like to receive email communications from Boundless Accelerator (e.g. newsletter) regardless of the outcome of this application

This field is hidden when viewing the form

Application Source

This field is hidden when viewing the form

Application ID

This field is hidden when viewing the form

Client Profile ID

This field is hidden when viewing the form

Application Submission

This field is hidden when viewing the form

Historical Entry

This field is hidden when viewing the form

Application Status

‘SAVE AND CONTINUE LATER’ Feature

An Investment Readiness Program By Boundless Accelerator

PRIMARY CONTACT

ALTERNATE CONTACT

COMPANY INFORMATION

Company Address

CORPORATE INFORMATION

SOCIAL MEDIA

TRACTION INFORMATION

Employment

Investments

Pre-seed funding (Founder/Friends/Family)

Pre-seed funding (loans/prizes)

Seed funding – Organization grants (no equity stake)

Seed funding – Angel (equity) <$50K

Seed funding – Angel (equity) $50K – $150K

Seed funding – Angel (equity) $500K – $2M

Series A funding – Venture Capital (equity) >$2M

Intellectual Property

Revenue

STAGE

PROGRAM SPECIFIC INFORMATION

Closing Information

Recent Posts

Recent Comments

Quantum Drive Application Form

‘SAVE AND CONTINUE LATER’ Feature

An Investment Readiness Program By Boundless Accelerator

PRIMARY CONTACT

ALTERNATE CONTACT

COMPANY INFORMATION

Company Address

CORPORATE INFORMATION

SOCIAL MEDIA

TRACTION INFORMATION

Employment

Investments

Pre-seed funding (Founder/Friends/Family)

Pre-seed funding (loans/prizes)

Seed funding – Organization grants (no equity stake)

Seed funding – Angel (equity) <$50K

Seed funding – Angel (equity) $50K – $150K

Seed funding – Angel (equity) $500K – $2M

Series A funding – Venture Capital (equity) >$2M

Intellectual Property

Revenue

STAGE

PROGRAM SPECIFIC INFORMATION

Closing Information

Recent Posts

Recent Comments

Innovation Guelph has become Boundless Accelerator