CONtact mentee application

Please note that the responses of this application will be shared with the CONtact advisory council and mentor(s).

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* 1. First name

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* 2. Last name

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* 3. Title

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* 4. Company name

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* 5. Email address

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* 6. Telephone number

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* 7. Company website (URL)

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* 8. Company address

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* 9. City

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* 10. Province

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* 11. Postal code

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* 12. We are:

Referred by the National Research Council Industrial Research Assistance Program (NRC IRAP)

A member of Construction association(s)

None of the above

If belonging to construction association(s) (please specify which ones)

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* 13. Have you established a company?

Yes

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* 14. What is your product/solution/process in one sentence?

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* 15. Who is the product/solution/process for?

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* 16. What are the key benefits of the product/solution/process?

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* 17. How many full-time employees do you have?

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* 18. Link to a video, demo, infograph or image that explains your product/idea or service (if you have one):

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* 19. Which stage is your product/service currently at?

Other (please specify)

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* 20. My product or service in relation to construction is:

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* 21. How might the CONtact program help you? (please choose two)

Contact/network

Product/process improvement

Technical support

Other (please specify)