Intake Form - Arctech

What is your organization’s name ? *

What is your organization’s mission ? *

What is Your Email Address ? *

What industry or sector space does your organization occupy ? *

What is your NAICS code? If you are unsure, or do not know, skip to the next question.

How many employees does your organization have ? *

What date did you incorporate your organization ? *

Do you have over 3 full time employees? *

Are you a Canadian incorporated company ? *

Are you a for-profit or not-for-profit organization ? *

For-Profit
Non-for-Profit

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Where does your organization carry out its operations, physical location must be present in the Province (choose one or more) ?

Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Other

Specify a location *

Have you developed any close relationships with academic partners such as universities etc. *

Have you already developed a close working relationship with an established Not for Profit or Charity organization? (if Yes checked off): Specify what established not-for-profits or charity partners *

What is the total amount of gross revenue your organization has earned to date ? *

Please describe any innovative technologies, services, or processes that your organization is working on. *

What percentage of the innovation IP is Canadian ? If unsure, skip this question.

Have you started selling your innovation? *

Is your innovation unique to the market and how ? *

Please specify how ?

Please define the business operation areas for which your organization requires funding *

Hiring
Training
Facilities
R&D
Other

Please specify *

Please define the business specific projects for which your organization requires funding *

Grants (public & private equity)
Loans
Venture Capital Investment
SR&ED

Have you previously or do you currently access funding through any government program ? *

Please specify the program ?

Do you have finances to contribute to the funding needs ? *

Are you seeking to hire more personnel ? *

How many personnel are you looking to hire ? *

What are the titles of the roles you want to hire for ? *

Are you seeking to train more personnel ? *

How many personnel do you seek to train? *

What programs (industry and software)/certifications do you require for your organization? *

We're not about ideas,
we're about making ideas happen.

Need funding for your business?

Our Partners

We're not about ideas, we're about making ideas happen.

Need funding for your business?

Our Partners

We're not about ideas,
we're about making ideas happen.