Startup Program Form - Boundless Accelerator

'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.

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 Boundless Accelerator?

Co-Space Interest

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

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)

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

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)?(Required)

Yes

Youth Designation(Required)

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Do you belong to any of the following groups?

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

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

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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?(Required)

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

Is your Company Incorporated?(Required)

You must be considering incorporating to participate in most of Boundless Accelerator programs

Yes

Incorporate Date

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Incorporate Date

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What is the date of incorporation?

MM slash DD slash YYYY

Incorporation Jurisdiction

Are you Considering Incorporating in the future?(Required)

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Incorporated in Canada or Ontario

Fiscal Year-End Month

Traction

Total Employees (Including Owner/Founder)

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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/Funding Type

Currency

Amount

If Other

INTELLECTUAL PROPERTY

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

ip_id

Date

Country

If Other(Country)

IP Type

If Other (IP Type)

Total Revenue

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Date(Required)

MM slash DD slash YYYY

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

Before Expenses in the most recent completed calendar year

Calendar Year(Required)

Do you currently export?(Required)

Yes

List the countries/regions

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

Year over Year “REVENUE’ growth(Required)

Not applicable

Less than 25%

25 to 50%

Over 50%

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

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).

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

Agriculture - Other(Required)

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

Food and Beverage - Other(Required)

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

Forestry Other(Required)

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

Mining - Other(Required)

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

Financial Services - Other(Required)

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

Education - Other(Required)

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

Digital Media and ICT - Other(Required)

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

Clean Technologies - Other(Required)

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

Advanced Materials and Manufacturing - Other(Required)

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

Life Science and Advanced Health - Other(Required)

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

Tourism and Culture - Other(Required)

What is your current geographic market?

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

Local

Provincial

National

International

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

Yes

Describe your ideal/target customer including demographics(Required)

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Please describe your product or service(Required)

Program Specific Information

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Program Type

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Have you attended a Start Your Engines information session?

Yes

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

If Other(Required)

Tell us how and why these services would be of benefit?

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

What problem is your company solving?(Required)

Tell us about the market opportunity(Required)

What is the company’s competitive advantage?(Required)

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

If Other(Required)

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

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How many of your founders are female?(Required)

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

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

What do you see as your greatest strengths as a business owner and why?

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

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

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

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

Business Model Canvas

Upload your Business Model Canvas here (optional).

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

Click to download here

Is this business in operation

Closing Information

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Date

MM slash DD slash YYYY

Are you working with any other Innovation Centres(Required)

Yes

If Yes(Required)

How did you hear about this program?(Required)

How did you hear about Boundless Accelerator(Required)

If Direct Referral(Required)

If Other(Required)

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.

Request for Permission

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

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Application Source

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Application ID

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Client Profile ID

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Application Submission

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Historical Entry

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Application Status

'SAVE AND CONTINUE LATER' Feature

Company Address

Primary Contact

Alternate Contact

Social Media

Corporate Information

Traction

Total Employees (Including Owner/Founder)

INVESTMENT

INTELLECTUAL PROPERTY

Total Revenue

Stage

Program Specific Information

Closing Information

Innovation Guelph has become Boundless Accelerator