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Indigenous-led Tech Company Accelerator
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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.)
*
4.
Email (Primary Contact)
(Required.)
*
5.
Who should be invited to the Indigenous Tech Leaders C-Council?
(Required.)
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6.
Which team members should be added to our newsletter list (please include email addresses)?
(Required.)
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7.
Company Mailing Address
(Required.)
Street Address
Unit/Suite
City
Province
Postal Code
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8.
Number of employees:
(Required.)
1-4
5-9
10-20
21-50
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9.
Annual Revenue:
(Required.)
$250K or less
$250K - $500K
$500K - $1Mil
$1Mil - $5Mil
$5Mil+
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10.
Business Description: Please share one sentence to help us understand your business and what problems your company solves for customers
(Required.)
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11.
This program is a dedicated stream for Indigenous-led tech companies. Please confirm that this applies to your company.
(Required.)
Yes
No
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12.
I am willing for my participation in this program, including company name & logo to be used in marketing materials for other Indigenous-led tech companies.
(Required.)
Yes
No
