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17
Questions
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1
Name
*
This field is required.
First Name
Last Name
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2
Email Address
*
This field is required.
example@domain.com
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3
Phone Number
*
This field is required.
Please enter a valid phone number.
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4
Business Name
*
This field is required.
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5
Company Website (Optional)
Starting with www.
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6
Company Type
*
This field is required.
Please Select
Private Corporation
Sole-proprietor
Partnership
Not Registered
Please Select
Please Select
Private Corporation
Sole-proprietor
Partnership
Not Registered
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7
Province of Business Registration
*
This field is required.
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please Select
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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8
Year Founded
*
This field is required.
What year was this business started?
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9
Annual Gross Revenue
*
This field is required.
Please provide an
approximate annual revenue
from the last fiscal year.
Number cannot contain symbols, commas or periods.
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10
Annual Net Revenue or Profit
*
This field is required.
Please provide an
approximate net revenue or profit
from the last fiscal year.
Number cannot contain symbols, commas or periods.
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11
Number of Employees
*
This field is required.
Please include both full and part-time T4 employees, excluding contractors.
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12
Province(s) of Operation
*
This field is required.
Please select all you are currently operating in.
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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13
Primary Industry
*
This field is required.
Please the most relevant industry.
Please Select
Accounting
Airlines/Aviation
Alternative Dispute Resolution
Alternative Medicine
Animation
Apparel & Fashion
Architecture & Planning
Arts and Crafts
Automotive
Aviation & Aerospace
Banking
Biotechnology
Broadcast Media
Building Materials
Business Supplies and Equipment
Capital Markets
Chemicals
Civic & Social Organization
Civil Engineering
Commercial Real Estate
Computer & Network Security
Computer Games
Computer Hardware
Computer Networking
Computer Software
Internet
Construction
Consumer Electronics
Consumer Goods
Consumer Services
Cosmetics
Dairy
Defense & Space
Design
Education Management
E-Learning
Electrical/Electronic Manufacturing
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Services
Farming
Financial Services
Fine Art
Fishery
Food & Beverages
Food Production
Fund-Raising
Furniture
Gambling & Casinos
Glass, Ceramics & Concrete
Government Administration
Government Relations
Graphic Design
Health, Wellness and Fitness
Higher Education
Hospital & Health Care
Hospitality
Human Resources
Import and Export
Individual & Family Services
Industrial Automation
Information Services
Information Technology and Services
Insurance
International Affairs
International Trade and Development
Investment Banking
Investment Management
Judiciary
Law Enforcement
Law Practice
Legal Services
Legislative Office
Leisure, Travel & Tourism
Libraries
Logistics and Supply Chain
Luxury Goods & Jewelry
Machinery
Management Consulting
Maritime
Market Research
Marketing and Advertising
Mechanical or Industrial Engineering
Media Production
Medical Devices
Medical Practice
Mental Health Care
Military
Mining & Metals
Motion Pictures and Film
Museums and Institutions
Music
Nanotechnology
Newspapers
Nonprofit Organization Management
Oil & Energy
Online Media
Outsourcing/Offshoring
Package/Freight Delivery
Packaging and Containers
Paper & Forest Products
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Plastics
Political Organization
Primary/Secondary Education
Printing
Professional Training & Coaching
Program Development
Public Policy
Public Relations and Communications
Public Safety
Publishing
Railroad Manufacture
Ranching
Real Estate
Recreational Facilities and Services
Religious Institutions
Renewables & Environment
Research
Restaurants
Retail
Security and Investigations
Semiconductors
Shipbuilding
Sporting Goods
Sports
Staffing and Recruiting
Supermarkets
Telecommunications
Textiles
Think Tanks
Tobacco
Translation and Localization
Transportation/Trucking/Railroad
Utilities
Venture Capital & Private Equity
Veterinary
Warehousing
Wholesale
Wine and Spirits
Wireless
Writing and Editing
Please Select
Please Select
Accounting
Airlines/Aviation
Alternative Dispute Resolution
Alternative Medicine
Animation
Apparel & Fashion
Architecture & Planning
Arts and Crafts
Automotive
Aviation & Aerospace
Banking
Biotechnology
Broadcast Media
Building Materials
Business Supplies and Equipment
Capital Markets
Chemicals
Civic & Social Organization
Civil Engineering
Commercial Real Estate
Computer & Network Security
Computer Games
Computer Hardware
Computer Networking
Computer Software
Internet
Construction
Consumer Electronics
Consumer Goods
Consumer Services
Cosmetics
Dairy
Defense & Space
Design
Education Management
E-Learning
Electrical/Electronic Manufacturing
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Services
Farming
Financial Services
Fine Art
Fishery
Food & Beverages
Food Production
Fund-Raising
Furniture
Gambling & Casinos
Glass, Ceramics & Concrete
Government Administration
Government Relations
Graphic Design
Health, Wellness and Fitness
Higher Education
Hospital & Health Care
Hospitality
Human Resources
Import and Export
Individual & Family Services
Industrial Automation
Information Services
Information Technology and Services
Insurance
International Affairs
International Trade and Development
Investment Banking
Investment Management
Judiciary
Law Enforcement
Law Practice
Legal Services
Legislative Office
Leisure, Travel & Tourism
Libraries
Logistics and Supply Chain
Luxury Goods & Jewelry
Machinery
Management Consulting
Maritime
Market Research
Marketing and Advertising
Mechanical or Industrial Engineering
Media Production
Medical Devices
Medical Practice
Mental Health Care
Military
Mining & Metals
Motion Pictures and Film
Museums and Institutions
Music
Nanotechnology
Newspapers
Nonprofit Organization Management
Oil & Energy
Online Media
Outsourcing/Offshoring
Package/Freight Delivery
Packaging and Containers
Paper & Forest Products
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Plastics
Political Organization
Primary/Secondary Education
Printing
Professional Training & Coaching
Program Development
Public Policy
Public Relations and Communications
Public Safety
Publishing
Railroad Manufacture
Ranching
Real Estate
Recreational Facilities and Services
Religious Institutions
Renewables & Environment
Research
Restaurants
Retail
Security and Investigations
Semiconductors
Shipbuilding
Sporting Goods
Sports
Staffing and Recruiting
Supermarkets
Telecommunications
Textiles
Think Tanks
Tobacco
Translation and Localization
Transportation/Trucking/Railroad
Utilities
Venture Capital & Private Equity
Veterinary
Warehousing
Wholesale
Wine and Spirits
Wireless
Writing and Editing
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14
Additional Industries (Optional)
Please select all additional industries that are related.
Accounting
Airlines/Aviation
Alternative Dispute Resolution
Alternative Medicine
Animation
Apparel & Fashion
Architecture & Planning
Arts and Crafts
Automotive
Aviation & Aerospace
Banking
Biotechnology
Broadcast Media
Building Materials
Business Supplies and Equipment
Capital Markets
Chemicals
Civic & Social Organization
Civil Engineering
Commercial Real Estate
Computer & Network Security
Computer Games
Computer Hardware
Computer Networking
Computer Software
Internet
Construction
Consumer Electronics
Consumer Goods
Consumer Services
Cosmetics
Dairy
Defense & Space
Design
Education Management
E-Learning
Electrical/Electronic Manufacturing
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Services
Farming
Financial Services
Fine Art
Fishery
Food & Beverages
Food Production
Fund-Raising
Furniture
Gambling & Casinos
Glass, Ceramics & Concrete
Government Administration
Government Relations
Graphic Design
Health, Wellness and Fitness
Higher Education
Hospital & Health Care
Hospitality
Human Resources
Import and Export
Individual & Family Services
Industrial Automation
Information Services
Information Technology and Services
Insurance
International Affairs
International Trade and Development
Investment Banking
Investment Management
Judiciary
Law Enforcement
Law Practice
Legal Services
Legislative Office
Leisure, Travel & Tourism
Libraries
Logistics and Supply Chain
Luxury Goods & Jewelry
Machinery
Management Consulting
Maritime
Market Research
Marketing and Advertising
Mechanical or Industrial Engineering
Media Production
Medical Devices
Medical Practice
Mental Health Care
Military
Mining & Metals
Motion Pictures and Film
Museums and Institutions
Music
Nanotechnology
Newspapers
Nonprofit Organization Management
Oil & Energy
Online Media
Outsourcing/Offshoring
Package/Freight Delivery
Packaging and Containers
Paper & Forest Products
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Plastics
Political Organization
Primary/Secondary Education
Printing
Professional Training & Coaching
Program Development
Public Policy
Public Relations and Communications
Public Safety
Publishing
Railroad Manufacture
Ranching
Real Estate
Recreational Facilities and Services
Religious Institutions
Renewables & Environment
Research
Restaurants
Retail
Security and Investigations
Semiconductors
Shipbuilding
Sporting Goods
Sports
Staffing and Recruiting
Supermarkets
Telecommunications
Textiles
Think Tanks
Tobacco
Translation and Localization
Transportation/Trucking/Railroad
Utilities
Venture Capital & Private Equity
Veterinary
Warehousing
Wholesale
Wine and Spirits
Wireless
Writing and Editing
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15
Founder Demographics (Optional)
Please select all that apply.
Black
Female
Indigenous
LGBTQ2+
Located in a Rural Area
Newcomer
Persons with disabilities
Postdoc Student
Veteran
Visible Minority
Youth
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16
Nature of Business
*
This field is required.
Please briefly describe the nature of your business.
eg. Digital media company, REALTOR, insurance broker, commercial electrician
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17
Are you interested in exploring business loans options?
eg. start-up loans, working capital loans, line of credits, equipment financing, etc.
Yes
No
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