2540 Kensington Road N.W. Calgary AB accelerator@districtventures.ca

DISTRICT VENTURES APPLICATION FORM

We operate two six month cohorts per year. Apply here by October 2, 2017 to be considered for Cohort V.

All fields are mandatory unless otherwise stated

Your first name:

Your last name:

Your role/title:

Your email address:

Your phone number:

The name of your company:

Where is the company located?

How long have you been in business?

Are you working on the business full time?

Are there other founders?

If yes, who are they? Please include their roles/titles.

Are all founders working on this full time?

If the company is located outside of Calgary, are you able to travel to Calgary for programming days
(once a month)?

What is your elevator pitch?

Where is your product manufactured?

Do you have revenue?

If yes, what was your total revenue for the preceding fiscal year?

What is your projected total revenue for the current fiscal year?

What convinced you to apply to District Ventures?

How did you hear about District Ventures?

Privacy Consent: The Company acknowledges and agrees that the information provided in this application will be shared, on a confidential basis, with members of the District Ventures management team, its personnel, and its sponsors and partners. The information will be used to evaluate your application and to assess your needs for financing, professional services, and other resources.