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* 1. Company name

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* 2. First name

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* 3. Last name

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* 4. Email Address

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* 5. Phone number

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* 6. CRA Business Number (Optional)

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* 7. What sector best represents your business?

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* 8. Company Description

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* 9. Who are your competitors?

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* 10. What makes you unique from your competitors?

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* 11. Is your company legally incorporated?

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* 12. Number of founders/owners?

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* 13. Number of founders that identify as female

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* 14. Number of founders currently age 29 or under

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* 15. Number of founders that were born outside of Canada

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* 16. Number of founders that identify as an indigenous person

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* 17. Number of founders where this is their first venture

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* 18. Numbers of full-time employees

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* 19. Number of part-time employees

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* 20. List of employees and their roles

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* 21. Are your main corporate headquarters located in Canada?

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* 22. Number of establishments in Canada

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* 23. Number of establishments outside of Canada

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* 24. Which best describes your development stage?

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* 25. In the last calendar year, from which sources did you receive funding for your business?

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* 26. Your business' revenue stage is currently best described as

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* 27. In the last calendar year, what was the business' total sales revenue?

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* 28. In the last calendar year, what was the business' sales revenue in Canada?

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* 29. In the last calendar year, what was the business' sales revenue outside of Canada?

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* 30. What are your revenue streams?

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* 31. Are you profitable?

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* 32. As of today, how many active patent applications does your business have?

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* 33. As of today, how many granted patents does your business have?

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* 34. Does your business currently export your product or are you looking to export?

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* 35. Have you/your business used accelerator, incubator, or other business/entrepreneur support programs in the past?

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* 36. What methods of support are you looking for?

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* 37. What are your biggest challenges right now?

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* 38. Describe your long-term goals

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* 39. How many seats will you require with your membership?

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* 40. When do you plan to use IGNITE?

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* 41. How long do you intend on keeping your IGNITE membership?

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* 42. Will your business require a mailbox at IGNITE?

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* 43. Will your business require printing services at IGNITE?

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* 44. How did you hear about IGNITE?

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* 45. Where are you located?

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