1. What is the name of your company? * 2. What is your business structure? * Select One Sole Proprietorship Partnership Corporation 3. What year was your company incorporated in Alberta/Canada? * 4. On which industry sector does your company focus? * Select One Advanced Manufacturing Agriculture and Food Clean Technology Construction Health and Medical Information and Communications Technology Oil and Gas 5. Number of full-time employees * 6. Number of part-time employees * 7. Do you have an advisory board? * 8. What stage of development is your company at now? * Select One Ideation Prototype Market Ready/Growth Mature Scaling Up 9. Do you have a prototype or product? * 10. Describe your product in 50 words or less. * 11. Is your product patented or protectable? * 12. Must you obtain any regulatory approvals for your product? * 13. What is your value proposition? * 14. Is your innovation incremental, significant, or game changing? * 15. If significant/game changing, please provide a brief description. 16. What platform technology is used? * Select One Biotech ICT Nanotech AI/Machine Learning Other Engineering Chemistry Other 17. What market need or challenge does your product meet or intend to solve? * 18. Describe your target market: * 19. What is the size of your market? * Select One Small Mid-sized Large 20. What is your business model? * 21. Is there any potential for export? * 22. Do you have a completed business plan? * 23. Do you have a marketing plan? * 24. For how many years do you have funding/financing available? * Select what year 1 year 2 years 3 years 4 years 5 years 25. Is your company generating revenue? Please explain. * 26. What is your revenue model: * Select One Low-Margin-Low Volume Low-Margin-High-Volume High-Margin-High Volume High-Margin-Low-Volume 27. By what year will your company be cash positive? * 28. Describe any recognitions or awards you have received. 29. Have you received any grants or public funding? * 30. Have you received any capital investment? * 31. What business service(s) you are currently receiving? Who is providing them? * 32. Do you have an affiliation with a university or college? * 33. What services/support will help you at ATC? * 34. Why is ATC the right place for your company’s growth? * 35. How much space may you require in years 1, 2, and 3? *
Indicate square feet or the number of people who will need space.
36. How many people may you hire in years 1, 2, and 3? * 37. Target revenue in years 1, 2, and 3: * 38. How many new product(s) may you develop in years 1-3 or 4-5? * 39. Who referred you to ATC? / How did you hear about ATC? * Title * Phone Number(s) * Email * Business Address * Co-founder(s) and Director(s) names * Would you like to be recognized as a: Have any officers or directors been convicted of a felony, any crime of moral turpitude, or been disciplined by a body which has issued an officer or director a professional license or certification? *