Local Business Program – LaunchPad PEI Application Form

You are about to apply to LaunchPad PEI for consideration for the Startup Visa Program run in coordination with the Canadian Association of Business Incubation (CABI).

Please fill out the form below to submit your information to the LaunchPad PEI Review Team. Also note that all fields marked with a red asterisk (*) are required and need to be filled out in order to submit this form.

If you have any questions, please contact Brad Mix.

Thank you for your interest in LaunchPad PEI!

  • Applicant Information
    • Please enter your full and legal name here.
    • Please ensure you enter the correct email address here as it will be the main channel of communication throughout the review process.
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    • For example please enter a date of birth of January 15, 1984 in the format – 01/15/1984.
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    • (Max 250 words)
      (Max 4000 characters)
    •  

    • (Max 500 words)
      (Max 4000 characters)
      This should include positions held, companies worked for, start/end dates, and a short description of your responsibilities.
    •  

      Please select the best answer here.
    • (Max 500 words)
      (Max 4000 characters)
      This should include program names you have completed, the names of educational institutions, and the dates you completed these programs.
    • This should be in a standard file format (E.g. MS Word or PDF).
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      Please select the best answer available.
    • (Max 250 words)
      (Max 4000 characters)
      Please list a minimum of 3 references of people that you have worked with. LaunchPad PEI reserves the right to contact these references to verify information submitted on this form.
  • Other Founder Information
    • (Max 500 words)
      (Max 4000 characters)
      This should include: Founder Name, Phone Number, Email Address, Role in the Business, LinkedIn Profile URL (if applicable), Date of Birth, and qualifications of each founder.
  • Team Information
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      Please select the best answer here.
      Definitions:
      Solo Entrepreneur
      If alone, please tell us what plans you have to build your company, or about any existing external relationships that you have in place on which you plan to build below.

Startup Team
If a solid team is in place, please tell us how you have solidified your roles. Elaborate below if you wish.

Corporate Board
If you have a corporate board in place, please ensure that you have provided the proper titles with their names below.

Existing Company Creating New Technology Through A Division
Please elaborate below.

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