Applicant Information First Name Last Name Email Mobile Phone I identify as: Male Female I'd rather not say Age 18-29 30-49 50+ Highest level of education High School College Certificate College Diploma University Degree Are you a Canadian Citizen or Permanent Resident? YesNo Are you currently employed or working outside of your business? YesNo Are you currently enrolled in any education or training programs? YesNo Are you currently attending or returning to school? YesNo Are you currently receiving any type of social assistance? YesNo ODSP Statement *Please note COVID-19 related assistance programs do not impact your application. Street Address Details Statement *Please include your street name and number. Ie. 123 Fake Street. City Province Postal Code Business Information Starting business statement If you are starting the business please provide as much detail about the business you wish to start. Are you starting a new or expanding a business Starting a new business Expanding an existing business Business Phone Business Website Business Name Business name text *Please provide the legal name of your business if applicable. If you are starting a new business, please put the desired name of your business. Business Location Home Commercial eCommerce Co-working Business Ownership Sole proprietorship Partnership Corporation Business Registration Number Have you developed a business plan YesNo Have you developed a marketing plan? YesNo Monthly Sales Do no use symbols. If starting a business, put 0. Annual Sales Do no use symbols. If starting a business, put 0. What makes your business stand out from the competition? Competitive advantage statement *What is your company's competitive advantage? Briefly describe your business and the products/services it provides Describe your target market Target market statement *Please include age, education, income, location, lifestyle, gender, business size, industry. What experience, education and connections do you have in your industry? How would you benefit from training/and or mentoring How would you benefit from receiving grant? Certification Certification Statement Accepting this will act as your expression of interest in the program and that to the best of your knowledge, all information is accurate. Certification I Agree I Disagree Comments
