Contact Information
First Name
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Last Name
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City/Town
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Postal Code
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Email
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Phone Number
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What gender do you identify with? *
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Gender Non-conforming
Female
Male
Prefer not to say
Age Range
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18-24 years old
25-34 years old
35-44 years old
45-54 years old
55-64 years old
65-74 years old
75 years or older
Education Level
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No schooling completed
Nursery school to 8th grade
Some high school, no diploma
High school graduate, diploma or the equivalent (for example: GED)
Some college credit, no degree
Trade/technical/vocational training
Associate degree
Bachelor’s degree
Master’s degree
Professional degree
Doctorate degree
Are you York University alumni?
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Yes
No
Business Name
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Do you have any employees? If so how many?
What sector is your business in?
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Accommodation and food services
Agriculture, forestry, fishing and hunting
Construction
Educational services
Health care and social assistance
Manufacturing
Professional services
Public administration
Retail trade
Transportation and warehousing
Other
Idea Information
Briefly describe your venture and communicate its core values
What is your idea?
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Stage of Venture
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Stage 0 - IDEA (You have an idea and are exploring the market and technology with respect to that idea)
Stage 1 - DISCOVERY (You've identified a possible new product or service to introduce to the market at a profit. Your value proposition is established; you are testing ideas and identifying customers; you are looking into financing opportunities)
Stage 2 - VALIDATION (You have an established business model; you have a minimum viable product or MVP; you have verified your customers; you have some customer orders)
Stage 3 - EFFICIENCY (Customers are being acquired efficiently, product is deliverable at a profit and business model is being fine-tuned; You are pursuing early stage VC.)
Stage 4 - SCALE (You have a validated product and market; You're attempting to drive firm growth aggressively; You're seeking A Round financing, making executive hires and refining your process)
What problem is your idea trying to solve?
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What is different or unique about your solution to solve the problem
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What Market Research have you done?
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What are you hoping to gain from this consultation?
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Communication Waiver
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By submitting this information, you consent to receive occasional electronic communication from YSpace, York University, Town of Georgina and Town of East Gwillimbury regarding related events, programs and updates.