Praxis SCI Accelerate Program Application 2021

Fill in your information below to start application for the Praxis Acceleration Program 2021. Applications are due on December 10, 2020 by midnight Pacific Standard Time (PST).

*Please ensure you save your responses as this application does not allow you to save your work online

Question Title

* 1. Primary Applicant Details

First Name

Last Name

Email address

Phone Number

Question Title

* 2. Company details

Company Name

Company website/URL

Question Title

* 3. Company Address / Location:

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Question Title

* 4. What's your Technology Readiness Level (TRL)?

Level 1: Basic principles of concept are observed and reported

Level 2: Technology concept and/or application formulated

Level 3: Analytical and experimental critical function and/or proof of concept

Level 4: Component and/or validation in a laboratory environment

Level 5: Component and/or validation in a simulated environment

Level 6: System/subsystem model or prototype demonstration in a simulated environment

Level 7: Prototype ready for demonstration in an appropriate operational environment

Level 8: Actual technology completed and qualified through tests and demonstrations

Level 9: Actual technology proven through successful deployment in an operational setting

Question Title

* 5. Check the boxes to confirm you meet the following requirements:

Demonstrated application SCI health challenges (functional mobility, neuro-restoration, secondary complications (i.e bladder and bowel complications, neuropathic pain, pressure injuries) or overall quality of life)

MVP completed, TRL 7 (TRL 5+ considered)

1 minimum full-time founder

Legally Incorporated or planning to incorporate in Canada

Existing traction or target to reach traction in the next 12 months (e.g. planned pilots or sales pipeline)

Business Plan submitted

Question Title

* 6. Are you legally incorporated?

Yes, in Canada

Yes, outside Canada

If incorporated in a country outside Canada, list country in which your company is incorporated

Question Title

* 7. Number of full-time employees:

1 - 4 Employees

5 - 9 Employees

10 - 19 Employees

20 - 49 Employees

More than 50 Employees

Question Title

* 8. References: List 1 to 3 people we can contact (Name, email, phone number)

Question Title

* 9. Describe your product in one sentence (Elevator Pitch):

Question Title

* 10. Explain what makes your product unique in the market in one sentence:

Question Title

* 11. Is your product a Business to Business (B2B) or Business to Consumer (B2C) product?

Business to Business (e.g. Hospital, provider is the buyer of your product)

Business to Consumer (e.g product is sold directly to the end consumer, the patient)

Question Title

* 12. What care setting do you anticipate your product will be used, at scale

Acute setting (hospital)

Rehab clinic/facility

At home

Question Title

* 13. What specific primary or secondary health challenge will your solution address for SCI patients?

Neuropathic pain

Neuro-restoration

Bladder and Bowel related complications

Sexual function

Pressure injuries

Psycho-Social

Other (please specify)

Question Title

* 14. Please describe in 1 sentence, how your product specifically could meet the needs of people with SCI

Question Title

* 15. How many SCI patients do you target reaching in 5 years (estimate

10+

100+

1,000+

10,000+

100,000+

Question Title

* 16. What other markets (types of patients, diagnoses) will your product benefit?

Question Title

* 17. What is your planned product price at scale? (Canadian Dollars)

CAD$0 to CAD$99

CAD$100 to CAD$249

CAD$250 to CAD$499

CAD$500 to CAD$999

CAD$1,000 to CAD$5,000

CAD$5,000 to CAD$10,000

More than CAD$10,000

If membership, what's the yearly rate?

Question Title

* 18. Do you have any current sales? What's your annual revenue YTD? (Canadian Dollars)

Pre-Revenue

CAD$1,000 to CAD$9,999

CAD$10,000 to CAD$49,999

CAD$50,000 to 249,999

CAD$250,000 to $1 Million

More than 1 Million

Question Title

* 19. Please briefly describe your progress in the following areas:

Clinical trials (animal/human studies, sample size, dates)

Intellectual Property

Sales

Partnerships

Regulatory

Reimbursement

Manufacturing

Non-dilutive/grant funding (amounts, providers)

Dilutive financing (equity)

Question Title

* 20. Attach your pitch deck (File size limit is 16MB)

Please do not include any external cloud storage links like Google/Dropbox as our system will not accept these but PDFs, Word Docs are okay.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 21. Before uploading your business plan, please confirm you have included the following sections by checking off the boxes below:

Size of overall market, target market share and types of market.

Intended impact of your product on SCI patients (# patients served, type of impact, significance of impact)

Description of the solution (succinct/brief description preferred, visuals welcomed)

Brief description of clinical validation/research completed to date (including 3rd party, accredited research findings where relevant)

Competitor analysis (what is unique about your solution and who are your 3-5 key competitors internationally)

Financial statement and sales forecast (past year by quarter, and 3 years’ projection – Include # of units projected to be sold by year. Use USD or CAD as monetary units)

Marketing/Customer acquisition strategy (describe resources needed/used to acquire market share in specifics)

Product roadmap (e.g. technical or clinical validation milestones completed, to be completed as part of go to market strategy)

Exit strategy (clear path to sustainable business model or exit to strategic buyer or funder, specific examples preferred)

Capital plan and raise (amount raised to date, round, and objectives for future raises, particularly within 2020)

Company team (including board of advisors if applicable and bios of core team members)

Question Title

* 22. Attach a business plan (a 10-15 page business plan is sufficient) (File size limit is 16MB):

Please do not include any external cloud storage links like Google/Dropbox as our system will not accept these but PDFs, Word Docs are okay.

PDF, DOC, DOCX file types only.

Choose File

Question Title

* 23. Provide a link to your 3-5 minute product video - a brief video that explains your product and its uses ( Vimeo (e.g. streamed videos) highly preferred. Downloadable video files are often not compatible with our systems):

Include link to video here:

and password as applicable:

Question Title

* 24. What are the 3 key objectives of your company in the spring of 2021 (e.g. what sales, product development, regulatory objectives do you wish to achieve by September 2021?)

Objective 1

Objective 2

Objective 3

Praxis SCI Accelerate Program Application 2021

Question Title

* 1. Primary Applicant Details

Question Title

* 2. Company details

Question Title

* 3. Company Address / Location:

Question Title

* 4. What's your Technology Readiness Level (TRL)?

Question Title

* 5. Check the boxes to confirm you meet the following requirements:

Question Title

* 6. Are you legally incorporated?

Question Title

* 7. Number of full-time employees:

Question Title

* 8. References: List 1 to 3 people we can contact (Name, email, phone number)

Question Title

* 9. Describe your product in one sentence (Elevator Pitch):

Question Title

* 10. Explain what makes your product unique in the market in one sentence:

Question Title

* 11. Is your product a Business to Business (B2B) or Business to Consumer (B2C) product?

Question Title

* 12. What care setting do you anticipate your product will be used, at scale

Question Title

* 13. What specific primary or secondary health challenge will your solution address for SCI patients?

Question Title

* 14. Please describe in 1 sentence, how your product specifically could meet the needs of people with SCI

Question Title

* 15. How many SCI patients do you target reaching in 5 years (estimate

Question Title

* 16. What other markets (types of patients, diagnoses) will your product benefit?

Question Title

* 17. What is your planned product price at scale? (Canadian Dollars)

Question Title

* 18. Do you have any current sales? What's your annual revenue YTD? (Canadian Dollars)

Question Title

* 19. Please briefly describe your progress in the following areas:

Question Title

* 20. Attach your pitch deck (File size limit is 16MB)

Question Title

* 21. Before uploading your business plan, please confirm you have included the following sections by checking off the boxes below:

Question Title

* 22. Attach a business plan (a 10-15 page business plan is sufficient) (File size limit is 16MB):

Question Title

* 23. Provide a link to your 3-5 minute product video - a brief video that explains your product and its uses ( Vimeo (e.g. streamed videos) highly preferred. Downloadable video files are often not compatible with our systems):

Question Title

* 24. What are the 3 key objectives of your company in the spring of 2021 (e.g. what sales, product development, regulatory objectives do you wish to achieve by September 2021?)

Question Title

* 25. What are the key needs that the SCI Accelerate Program can help you address? (with 1 being highest priority)