Starter Company PLUS Entrance Application
Fall 2024 Cohort - In-person Orientation September 11 - 5pm-7pm and weekly Wednesday webinars. More details: https://businessenterprisecentre.ca/events/
Today's Date
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Month
-
Day
Year
Date
Name
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Business Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Business Location
*
Please Select
City of Cornwall
South Glengarry
North Glengarry
South Stormont
North Stormont
South Dundas
North Dundas
Akwesasne
Contact Number
Primary Email
*
example@example.com
Secondary Email
example@example.com
Are you a Canadian Citizen?
*
Yes
No
Education level completed:
High School
College Diploma
Bachelor Degree
Master's Degree
PHD
Other
Do you have education/training in the following categories? Choose all that apply.
Bookkeeping
Insurance
Job Costing
Advertising/marketing
Legal Documents
Customer Service
Graphic Design
On-line Selling
Banking
Health & Safety
HST Regulations
WSIB Regulations
Payroll
Business Planning
Financial Forecasting
None of the Above
Employment History: Please include start and end month/year, company name, position, short description of general responsibility.
Please add any education or work experience that relates to your business.
Do you have management or supervisory experience through past employment?
Yes
No
How did you hear about Starter Company Plus?
Have you ever owned a business before?
Yes
No
Why do you want to open a business?
*
My business is currently:
*
In the planning stage
Getting ready to open
Open less than one year
Open more than one year
My business is registered as:
Sole Proprietorship
Partnership
Incorporated
Not registered yet
If your business is registered, indicate the date of registration
If business is already operating:
Home based
Storefront
Business Name
Business Website
Business Social Media Accounts
Business Sector
E.g. specialty food store, clothing, manufacturing, health care, retail, education, other
Are you currently operating your business
Full Time (35+ hours per week)
Part Time
If part time, are you planning to move into full time?
Yes
No
Summarize your business concept, the kind of product or service that you are offering, or plan to offer and what makes your business unique.
*
List your skills and experience that relate to your business.
I enjoy working and know that going into business may demand 12 to 16 hours of work each day.
Yes
No
I have considered all possible alternatives to entering into business for myself.
Yes
No
I understand that my income may be low for a while until the business begins to profit.
Yes
No
I am open to suggestions and consider myself to be coachable
Yes
No
I am the type of person who is able to see things from another persons' point of view.
Yes
No
I have researched the market and understand that there is a demand for my product or service.
Yes
No
I have studied my competition and know their strengths and weaknesses.
Yes
No
I have experience in the following - choose all that apply.
Keeping Inventory Records
Managing and analyzing sales reports
Withholding and remitting HST and other government taxes
Forecasting sales
Forecasting expenses
Planning a marketing and advertising campaign
Managing cash-flow
Writing a Business Plan
None of the Above
I have always protected my possessions and myself with insurance and sensible safeguards.
Yes
No
Voluntarily: How do you self identify?
Woman
Francophone
Indigenous Person (Firs Nations, Inuit or Metis)
Racialized Group
Black
Newcomer to Canada (landed immigrants who came to Canada up to 5 years prior to a given census yes)
Person with a disability
Lesbian, gay, bisexual, or queer, trans or non-binary (LGBQ2+)
Youth under 39 years of age
Language
Please Select
English
French
Bilingual
Spanish
Arabic
Punjabi
Please read and check each box
*
I understand that a separate application is necessary to apply for funding.
I understand that a separate application is necessary to apply for funding.
I understand that the decision to grant funding is made by a separate grant panel external to the Cornwall Business Enterprise Centre.
I understand that if successful in obtaining a grant, the funds are considered taxable under the Canada and Ontario income tax acts. A T4A slip will be issued to the recipient of the award.
I understand that any misuse of the grant amount will immediately convert the amount to a repayable loan. All elements of the program must be completed in order to receive a grant award; this includes but is not limited to the following: Confirmed participation in training and mentor meetings. Completion of milestone worksheets. Provision of documentation and receipts as required.
I certify that my answers are true and completed to the best of my knowledge. If this application leads to acceptance into the Starter Company PLUS program, I understand that false or misleading information in my application may result in a release from the program.
I agree that by participating in the Starter Company PLUS program, the program has the right to list, promote, advertise and illustrate my business involvement in the program to the public. I also grant the Program permission to use authorized photos, illustrations, quotes, etc in Program marketing materials and promotional activities.
In order for the Starter Company PLUS Program to be effective, I understand that I must be committed to performing the work that is identified at appropriate coaching/consulting/learning sessions. If after three consecutive sessions I am unable to meet the commitments I made to the program, the Cornwall Business Enterprise Centre reserves the right to terminate my involvement in the Program.
Signature
Submit
Should be Empty: