General CREATIVES INDIGENOUS REGISTRATION FORM

This program is for Indigenous-owned or led startups. Are the founders of your business Indigenous representing persons?*

example@example.com

This program is primarily for Indigenous businesses in North America, depending on the region our partner/s may be located. Is your business based in or do you have affiliations to this region? *If you have any questions, please email us at brenna.ortiz@nativemax.com* *

example@example.com

This program is targeted to creative businesses. We define "creatives" broadly! But a few examples include: Artisans, musicians, festival hosts, filmmakers, DJs, web designers, jewelers, chefs, theatre producers, and more! Does your business fall within the creative industry sectors? *

example@example.com

What is your first name?*

example@example.com

What is your last name?*

example@example.com

What is the best email address to reach you at?*

example@example.com

What is the best cell number to reach you at?*

Do you have another method of contact (i.e. Skype, WhatsApp)? If so please list below.

What is the name of your business/startup?*

Where is your business located?*

Do you have business partners or team members that will attend with you? If so, how many? In general, only team members who are critically involved in the day to day decisions of your business should participate.*

Please submit a brief bio of the applying founder. We don't need anything too fancy here. Just some background to help us get to know you.*

Describe your business or startup in 30 words or less.*

How long have you been working on this business? What year did you start?*

What industry would you say your business falls into? List the top 2-3.*

What role does art, design, and creative expression play in your startup? What role does technology play?*

Linkedln social/url link

Instagram handle

Facebook handle

Twitter handle

How did you find out about this program?*

Who are your key customers/users?*

What problem does your business solve for customers? Or, what is the core value proposition for your customers?*

Give us a few examples of similar businesses. How do you set yourself apart?*

Are you able to participate fully in the entirety of the program?*

Can you commit to at least 10 hours a week for classes and assignments?*

Do you know any of our Mentors, Guest Faculty or Staff members? If yes, who?

Last chance, anything we should know about you that you haven't gotten to share yet?*

Yes, I have read and understand the Cancellation Policy.*