Local Business Program – LaunchPad PEI Application Form

We have an online form for any PEI startups that are interested in LaunchPad PEI and the services we provide to help your business. The online form is never a substitute for visiting us directly and pitching your business. In this online world, it is still extremely important to meet face to face and be able to discuss the business concept you are pursuing.

If you submit an online application, please reach out to us beforehand by email so we can watch for it and be sure to follow up with us after it is sent. Also note that all fields are required and need to be filled out in order to submit this form. Thank you for your interest in LaunchPad PEI.

If you have any questions, please contact Cody Clinton.

Applicant Information

First Name

Last Name

How would you like to be addressed?
Mr.Ms.Mrs.Other

Company Name

Company Address

Your Email

(This will be the main channel of communication throughout the review process.)

Phone Number

Cell Phone Number

What is your position within the business?
FounderEmployeeThird partyOther

Is your company incorporated?

What type of business are you running (sector)?

Please describe your business; what is your product and who is your target market?(Brief Summary)[:frDécrivez brièvement l’entreprise, son produit et son marché cible.

Status of the product or service

Describe the management team; include education, skill sets and role within the business

Do you have any mentors or business advisors?

Describe your product in detail. What technology does it use? What is its advantage over what is available in the market? What is unique and innovative?

Do you own the Intellectual Property involved with the product/service?

Are there any challenges or risks associated with the business opportunity?

Describe the market opportunity and target market in detail

Have you received funding for your business?

Please describe this investment (if applicable)

Other Founder information:
If your company has other founders, please list their names and contact details below. If you are the sole founder and owner, please leave this field blank.

What are the key areas you want to strengthen as a company within LaunchPad PEI?

Please upload a copy of your CV / Resume here

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