Welcome to the online ACETECH Market Expansion Program application form. The information collected in this survey is strictly confidential and will only be used by ACETECH personel to review your application. You will be contacted by an ACETECH representative to set-up an appointment with a venture advisor to discuss your application

* 1. Company Name

* 2. Applicant's Name

* 3. Applicant's email address

* 4. Website

* 5. Year established

* 6. Are you the founder or CEO of the company?

* 7. Is the company product or service oriented?

* 8. Please select the proposition that best describes your company's status

* 9. Origin of product / service

* 10. Product / Service description

* 11. Are you generating revenue from your customer(s)?

* 12. Please rate the following business challenges on a priority scale of 1 (very low) to 5 (very high)

  Very low Low Medium High Very high
Strategic direction
Lack of adequate funding
Management experience and team strength
Organizational processes and structure
Technical or regulatory hurdles impacting product development
Marketing and sales
External environment / competition
Insufficient company growth
Managing rapid growth