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BCTech4Startups - Application Form
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1.
Company Name:
(Required.)
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2.
Company Website:
(Required.)
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3.
Name (Primary Contact):
(Required.)
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4.
Email (Primary Contact):
(Required.)
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5.
Title (Primary Contact):
(Required.)
6.
Additional Contacts For:
C-Councils:
Speaking Engagements:
Newsletter:
Talent/Job Fair:
Job Board:
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7.
Company Mailing Address:
(Required.)
Street Address
Unit / Suite
City
Province
Postal Code
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8.
Phone Number
(Required.)
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9.
Number of Employees:
(Required.)
1-4
5-9
10-20
21-50
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10.
Revenue:
(Required.)
Pre-revenue
$250K or less
$250K to $500K
$500K to $1M
$1M or more
$5M or more
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11.
Capital:
(Required.)
Who has invested in you so far (eg. self-funded, friends and family, angel)?
Do you expect to raise more capital in the next 18 months?
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12.
Business Description:
(Required.)
Share one sentence to help us understand your business and what problems your company solves for customers.
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13.
What subsector are you in?
(Required.)
Advanced Manufacturing
AI/ML
AR/VR/MR
Cybersecurity
FinTech
Data/Analytics
Digital Media
E-commerce
Gaming
Digital Health
SaaS
Cleantech
Other
If Other, please specify:
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14.
Service Providers - Who do you use for:
(Required.)
Legal Advice:
Banking:
Accounting:
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15.
Can you please tell us what you hope to gain by joining the BC Tech community and what accessing this free program means to your startup?
(Required.)
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16.
Where did you hear about us?
(Required.)
BC Tech Website
BC Tech Social Media
Referral from another member
Other (please specify)
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17.
If you were referred to BC Tech, please tell us who referred you by including their name and company below.
(Required.)
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18.
I understand that my participation in this program, including company name & logo, may be used in marketing materials to promote BCTech4Startups.
(Required.)
Yes, I understand
