Thank you for your interest The Refinery, a project of Community Innovation Lab

Boot Camp Application Form

We will review your information and contact you about how we might best support your business goals. If you have any questions or need help with this form, we are happy to help:
theRefinery@communityilab.ca
905-576-6112
ABOUT YOU
You are a female entrepreneur who runs a business in the Durham Region. 

ABOUT US
Community Innovation Lab is a not-for-profit organization based in Durham Region. We address the social and economic gaps in communities through innovation and entrepreneurship. Our mission is to inspire, catalyze, and advance a community of entrepreneurs. We are an incubator for enterprising ideas and an accelerator for promising ventures.

The Refinery is a program for female entrepreneurs. It offers ideas, inspiration, and motivation to help women to build an action plan and support business growth. The Refinery’s business growth pipeline reflects the lived experience of women, the best practices in accelerators, incubators and community hubs, the research on women and entrepreneurship – and our collective wish that all women can dream, thrive and make a difference. As a project of the Community Innovation Lab, The Refinery is also a marketing partner for members and will host product launches, professional events, and business meetings at the Co-iLab Hub, located at 600 Rossland Road West in Oshawa, Ontario.

WHAT’S INVOLVED
By registering your business with the Community Innovation Lab, you will be kept up-to-date on The Refinery's program activities and opportunities. If you choose, we will also profile your business on a special page dedicated to women entrepreneurs on the Community Innovation Lab website (www.communityilab.ca). We will only publish the information that you have authorized, all other information will be kept confidential. This registration will take approximately 30 minutes of your time.

Registering your business with The Refinery is the first stage of applying for The Refinery's Boot Camps for women entrepreneurs. The Refinery will be hosting two boot camps: November 22-24, 2018 and January 24-26, 2019 and you may apply for either, based on which best suits your business goals and needs. A member of The Refinery team will be in contact with you once completing this application to follow up with a 30-minute phone call to discuss your business and interest in the boot camp. 

CONFIDENTIALITY
The information you provide will be kept confidential, i.e. your name will not appear unless you have given your express consent. We have set up individual sections of the registration below so that you can decide what information you share publicly. The purpose of publishing your information is to promote your business.
 
VOLUNTARY REGISTRATION
Registration is voluntary. If you wish, you may decline to provide any information or participate in any component of the program. Further, you may decide to withdraw your registration at any time or to request withdrawal of your information from our database.
CONTACT

Kasey Dunn
Program Coordinator, The Refinery
905-576-6112 | TheRefinery@communityilab.ca | www.communityilab.ca

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* 1. CONSENT
I agree to register with the Community Innovation Lab. I have made this decision based on the information I have read in the Information above.  I have had the opportunity to receive any additional details I wanted about the program and understand that I may ask questions in the future.

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* 2. First Name

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* 3. Last Name

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* 4. Email

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* 5. Permission to publish your name in connection with your business information

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* 6. Stay informed about what's happening at the Community Innovation Lab. We respect your privacy and never share contact information or mailing lists with anyone – and we promise to keep all our emails short and sweet!

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* 7. How did you find out about the Boot Camp?

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