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

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* 1. Primary Applicant Details

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* 2. Company details

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* 3. Company Address / Location:

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

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

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* 6. Are you legally incorporated?

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* 7. Number of full-time employees:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

PDF, DOC, DOCX file types only.
Choose File

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* 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):

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* 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?)

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

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