First Name
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Last Name
*
Email
*
Phone Number
Company Name
*
Position
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Why do you want to join the Startup Zone as a collaborator?
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How many hours per week do you plan on using the Startup Zone space?
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Less than 10 hours
10-20 hours
20-30 hours
30-40 hours
More than 40 hours
What time of day do you see yourself using the space? (Select all that apply)
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Morning
Afternoon
Evening
Late Evening
Please briefly describe your professional experience and accomplishments.
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Are you open to the occasional informal meeting with Startup Zone resident companies to chat about their company, or business is general?
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Yes
No
If applicable, please indicate if the project will benefit or encourage the inclusive growth of any of the following under- represented groups:
Women
Indigenous peoples
Members of Official Languages Minority Communities
Youth
Persons with Disabilities
Newcomers to Canada and Immigrants
Black Communities
Racialized Communities
LGBTQ2
If applicable, please indicate if the applicant is led or majority led by one or more of the following under-represented groups:
Women
Indigenous peoples
Members of Official Languages Minority Communities
Youth
Persons with Disabilities
Newcomers to Canada and Immigrants
Black Communities
Racialized Communities
LGBTQ2