Indigenous-led Tech Company Accelerator

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* 1. Company Name:

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* 2. Company Website:

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* 3. Name (Primary Contact)

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* 4. Email (Primary Contact)

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* 5. Who should be invited to the Indigenous Tech Leaders C-Council?

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* 6. Which team members should be added to our newsletter list (please include email addresses)?

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* 7. Company Mailing Address

Street Address

Unit/Suite

City

Province

Postal Code

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* 8. Number of employees:

1-4

5-9

10-20

21-50

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* 9. Annual Revenue:

$250K or less

$250K - $500K

$500K - $1Mil

$1Mil - $5Mil

$5Mil+

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* 10. Business Description: Please share one sentence to help us understand your business and what problems your company solves for customers

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* 11. This program is a dedicated stream for Indigenous-led tech companies. Please confirm that this applies to your company.

Yes

No

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* 12. I am willing for my participation in this program, including company name & logo to be used in marketing materials for other Indigenous-led tech companies.

Yes

No