Qualification Form
Please select your language.
Qualification Information
In order to be eligible to receive funding from ElevateIP Alberta, you must meet the following requirements. Please read the
following
carefully.
Our company has raised
less
than $1 million in
dilutive funding
Yes
No
The business has
fewer
than 500 employees
Yes
No
I/we intend to grow my/our business in Canada
Yes
No
The business currently makes
less
than $10 million in
annual recurring revenue
Yes
No
The business
is already (or will be)
working with an Alberta-based business accelerator, incubator, startup program, or mentorship program
Yes
No
The business is
less
than 10 years old
Yes
No
I declare that the business's main operations are based in Alberta
Yes
No
I declare that I am
not
receiving any additional funds from other ElevateIP programs
I am
not
receiving any additional funds
Error
Note: The information in this form is collected and maintained confidentially by Innovate Calgary and Economic Development Lethbridge for the purpose of administration of the ElevateIP Alberta program. It may also be shared confidentially with the University of Calgary and ISED, the funder of this program, to meet ongoing program reporting obligations
.
Unfortunately, you do not meet the qualification criteria.
If you have any questions or concerns about not qualifying for ElevateIP Alberta, please contact the team at
ElevateIP@innovatecalgary.com
. Please note, we are available to help you find a business accelerator or incubator program to qualify. All eligibility aspects are strict requirements and cannot be negotiated. We look forward to hearing from you!
I would like Innovate Calgary to contact me regarding potential other opportunities for my startup.
Personal Information
First Name:
Last Name:
Preferred Name:
Position/Title at Business:
Please select...
Founder
Other
Position/Title:
Email Address:
Phone Number:
Business Information
Business Legal Name (Exactly as shown in this
registry
):
Business Trade Name:
Business Street Address:
Business City:
Business Province:
Business Postal Code (enter in format XXXXXX):
Business Profile
What is the Incorporation date of your business? (please use calendar in the dropdown to select date)
Business Number (BN) - (9 digits -
as shown in this
registry
).
Please upload an official incorporation document that includes your business number and date of incorporation.
Use examples provided in this link
.
How many people or entities have ownership in your business (i.e., have shares or dividends?)
Do any majority shareholders (50.1% +) identify as any the following
Black
Disabled
Female
First Nations, Metis, or Inuit
LGBTQS2+
New Canadian
Post Secondary (Students or Researchers)
Senior
Visible Minority
Prefer not to answer
N/A
This question is required by our funders and is confidential
Do any other shareholders identify as the following
Black
Disabled
Female
First Nations, Metis, or Inuit
LGBTQ2S+
New Canadian
Post Secondary (Students or Researchers)
Senior
Visible Minority
Prefer not to answer
Are you or your business a member of any of the Official Language Minority Communities (OLMCs) in Canada? If yes, please select the OLMC community to which you belong.
Please select...
Association canadienne-française de l'Alberta (ACFA)
Assemblée de la francophonie de l'Ontario (AFO)
Assemblée communautaire fransaskoise (ACF)
Association des francophones du Nunavut (AFN)
Association franco-yukonnaise (AFY)
Fédération acadienne de la Nouvelle-Écosse (FANE)
Fédération des communautés francophones et acadienne du Canada (FCFA)
Fédération des francophones de la Colombie-Britannique (FFCB)
Fédération des francophones de Terre-Neuve et du Labrador
Fédération franco-ténoise (FFT)
Quebec Community Groups Network (QCGN)
Société de l'Acadie du Nouveau-Brunswick (SANB)
Société franco-manitobaine (SFM)
Société nationale de l'Acadie (SNA)
Société Saint-Thomas d'Aquin (STA)
Not Applicable
What is your primary industry?
Please select...
Aerospace
Advanced Materials & Manufacturing: excludes specifically forestry, agriculture, mining, clean tech and life sciences
Agriculture
Clean Tech
Consumer Retail
Digital Media & Telecommunications: digital applications and content and information and communications technologies.
Education
Food & Beverage
Financial Services
Forestry
Mining, Oil & Gas: includes extractive activities that would not otherwise fall under clean tech
Life Sciences & Health
Social Purpose/Impact
Tourism & Culture: includes entertainment and sports
Transportation
Genomics (Genom.)
Quantum
What is your secondary industry (if applicable) ?
Please select...
Aerospace
Advanced Materials & Manufacturing: excludes specifically forestry, agriculture, mining, clean tech and life sciences
Agriculture
Clean Tech
Consumer Retail
Digital Media & Telecommunications: digital applications and content and information and communications technologies.
Education
Food & Beverage
Financial Services
Forestry
Mining, Oil & Gas: includes extractive activities that would not otherwise fall under clean tech
Life Sciences & Health
Social Purpose/Impact
Tourism & Culture: includes entertainment and sports
Transportation
Genomics (Genom.)
Quantum
Is your business pre-revenue?
(No revenue generated from products/services at time of application.)
Yes
No
What stage is your business in?
Development Stage: your
business
has not yet launched or
any
raised
funds
Funding Stage: you are actively seeking funding and may have recently launched your
business
What stage of development is your business in?
Idea Stage: conceptual phase, with no product developed
yet
Prototype Stage: a prototype or minimal
viable
product has been created, but not fully
launched
Beta Stage: product is in testing with a limited group of
users
Pre-Launch: the product is ready, but not yet on the market
What stage of funding is your business in?
Bootstrapped: self-funded by the founders and/or personal loans.
Friends and Family Round: funded by close personal contacts.
Angel Investment: backed by high-net-worth individuals.
Seed Stage: funded from investors like venture capitalists (i.e., Series A).
Approximately, how much annual recurring revenue does your business make? (In the latest fiscal year)
How many paid Full-Time Employees (FTEs) work in your business?
Is your business associated with a post-secondary institution?
Yes
No
Please select your primary post-secondary institution of collaboration. If not listed, please identify in the "Other" field
Institution ID
Other:
Do you have a revenue sharing obligation with the University of Calgary? (i.e., your business utilized University of Calgary facilities or resources to generate your IP, and have an agreement in place)
Yes
No
Are you currently working with Alberta Innovates?
Yes
No
Please provide the name of your Technology Development Advisor (TDA):
Are you currently working with NRC IRAP?
Yes
No
(The National Research Council of Canada Industrial Research Assistance Program)
Please provide the name of your NRC IRAP Industry Technology Advisor (ITA):
Intellectual Property for your Business
Are you the person responsible for managing
the Intellectual Property of your
business
?
Yes
No
Who has ownership of the Intellectual property you are looking to protect?
Please select...
The Company owns the IP
The Founder owns the IP
Both Company and Founder have ownership
Has your business completed an IP strategy?
Yes
No
Has your business filed formal IP before?
Yes
No
If yes, what kind of IP have you protected? (e.g., patents, trademarks)
List all that apply