Startup Program Application Form Company Contact InformationName of Company* Street AddressAddress Line 2CityProvincePostal CodeCountryWebsite Company PhoneApplicant InformationFirst Name*Last Name*Email* I self-identify as Aboriginal You may choose to self-identify as Aboriginal through a voluntary and confidential online process. By doing so, North Forge may provide information about specialized funding and assistance for you or your business. This self-identification should adhere to the definition described in the Constitution Act, 1982,Section 35 (2) as including the Indian, Inuit and Métis peoples of Canada. Company Structure InformationWhy do you want to be in the Start Up Program and what goals do you hope to achieve?*Is your business registered in ManitobaYesNoGST/Biz NumberWhen was the company founded? Business StructureTo be IncorporatedFederally IncorporatedProvincially IncorporatedPartnershipSole ProprietorshipCooperativeOtherOther Business StructureNumber of partners or shareholdersNumber of EmployeesSolution InformationSolution NameSolution descriptionWhat problem are you solving?Why is your solution the best one?Market descriptionDo you have current, relevant market research?YesNoPlease upload researchAccepted file types: pdf.Industry SectorAg BioFoodClean TechNew MediaLife SciencesManufacturingServiceOtherOther SectorDo you have a current business plan?YesNoPlease upload planAccepted file types: pdf.Is your solution patentable?YesNoI'm not sureDoes your company hold patents and/or other intellectual property protections for your solution?YesNoPlease describe these protectionsSolution StatusIdeaPrototypeMarket tested prototypeMinimum viable product for saleMarket validated feature set for saleNumber of testersNumber of paying customersRevenue to date This iframe contains the logic required to handle Ajax powered Gravity Forms.