Pt 1.

Starter Company Plus – BOOTCAMP and GRANT Application Form

Starter Company Plus provides training, learning plans, and further support for eligible entrepreneurs
who want to start, expand, or buy a small Ontario-based business.

Please note that the Starter Company Plus BOOTCAMP and GRANT program does not currently offer
grants. The training in this program is a combined value of over $3,000 and the program is being offered
to approved program participants free of charge.

Application Date: *

*Denotes required

PERSONAL INFORMATION

1. First name: * Last name:*

2. Date of birth: * (Year/Month/Day)

3. Gender:

Male
Female
Other (specify if desired)

4. Email address:*

5. Telephone number: *

6. Alternate telephone number (if applicable):

7. Home address:* Number | Street | Apt. | City | Province / Territory | Postal Code

8. Self-identification: This question is for Ontario Government informational purposes only and is
completely optional.

I self-identify as: (checklist)

First Nations, Métis and/or Inuit

Newcomer

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 Racialized person
LGBTTTQQIAA
Francophone
In or at risk of being in conflict with the law
Living in poverty
Living in a rural/remote community
Living with a disability and/or special needs
Other (please specify)

9. Residency status:* (pick list)

Canadian citizen
Permanent resident
Other

10. Education status:* (pick list)

Not currently in school

Current full-time student
Current part-time student
Returning to school full-time within the next year
Returning to school part-time within the next year

* If you are in school or returning to school your expected graduation date is:

11. * I am not currently enrolled in any provincial employment or self-employment related programs
that include or do not include financial assistance (examples: Summer Company, Ontario Works,
Second Career, Youth Job Connect, Youth Job Link)

12. * I am not currently enrolled in any self-employment or entrepreneurship training/financing

programs offered by government funded organizations (examples: Ontario Network of
Entrepreneurs, Ontario Centres of Excellence, Futurpreneur, OCLF)

13. Are you currently working in any other business as an owner?* (pick list)

Yes
No

14. Are you currently working in any other business as an employee?* (pick list)

Yes
No

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* If yes (for 13 or 14), provide details:

BUSINESS INFORMATION

15. The name of the company that I am planning to start/expand/buy is: *

16. Business start date: *(If not yet started, indicate when you expect to start) Year/Month/Day

17. Is/will the business (be) Full-time or Part-time? *

18. Business type:* (pick list)

Sole proprietorship
Partnership
Incorporation
Not yet determined

19. Is your business a Social Enterprise?*

Yes
No

20. If you answered yes to #19 please describe your social benefit.*

21. Are you purchasing a franchise?

Yes
No

22. The nature of the business I am planning to start/expand/buy is: * (pick list)

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Agriculture/Forestry/Fishing/Hunting
Architecture/Landscape/Interior Design
Arts/Entertainment/Recreation
Construction/Trades
Film/TV/Photography
Finance/Accounting/Insurance/Legal
Food/Beverage
Healthcare/Social Assistance
Logistics/Supply/Transport/Warehousing
Media/News/Radio
Management/Consulting Services
Manufacturing
Real Estate/Rental/Leasing
Retail Trade
Tourism/Culture
Utilities
Other (Specify):

23. Business number (if applicable): *

24. Business’ annual revenue in last full year: *

25. Number of employees currently employed by the business: *

Full time:
Part time:

26. If you are planning to start a new company or purchase a business, will there be any other owners
besides yourself? (pick list) *

Yes
No
Not yet determined

27. If you already own your business, are there any other owners besides yourself? *

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 Yes
No

28. If you answered ‘Yes’ to either question 26 or 27, list the other owner(s) name(s) and their
ownership percentage(s): *

29. What types of funding (if applicable) have you received so far to start, expand, or purchase the
business?* (checklist) *

None
Bank loan
Loan (other)
Venture capital investment
Other (specify):

30. How much funding have you received to start, expand or purchase the business? *

31. Business website (if applicable):

Pt. 2 Starter Company Plus Program Business Information- Questionnaire

1. Please select which sentence best describes your business at this time: *
(Only select one option)

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 I have an interest in starting a business but do not yet have a solid plan

I have a plan and I am working to develop my business and/or product

I have a business and/or product that’s begun to hit the marketplace

I have a business and/or product that is new but growing faster than I can keep up

I have a maturing business and I’m managing its individual projects for growth or longevity

I have a mature business that’s now looking for new ventures and ideas

I have a business that’s begun to mutate and experience rapid, wild expansion

I have a business with a problem that is threatening

Elaborate if desired:

To complete with as much detail as possible. All questions are mandatory.

2. Provide an introduction of yourself: (Eg: relevant work experience, education, etc.)

3. Do you have any business experience?

4. Have you had any formal training, coaching or education in your field?

5. What is your business description?

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Need help with this

6. What is your product or service?

Piano performances and teaching

Looking to offer extensions like recordings and recordings of performances

7. What is your operations and legal business structure?

??

8. Who is your target market?

I have target markets for different performances. Since I am a versatile artist, I perform for
weddings, events, concerts , and funerals, solo and with other instrumentalists.

Weddings:

Age 25-38 y range , sex mostly female, in ottawa, of fb wedding groups, who attend wedding shows,
and wedding vendors especially planners and facility/booking managers of venues

9. How have you calculated your profit margin? (Explain as best you can.)

I’ve deducted expenses (automotive , clothes, business supplies, fees for events and training) from
income .

10. What are your current strengths? (Eg: sales, manufacturing, writing, networking, technical skills,
etc.)

Networking

Performing

People skills

booking performances

11. What are your top 3 biggest hurdles or business related questions?

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12. What do you want your business to look like in 1 year? 3 years?

1 year: I want to have established myself to various networks

3yrs: I aim to have staff and service other musicians

To not have to seek clients; them come to me

13. How many hours per week do you work outside of your business? (If you have another job, please
elaborate)

? 20-30 hours practicing piano weekly

14. How many hours per week do you have to work on your business?

30 hrs+

15. How many hours per week would you have for training, coaching and self-directed work if
approved into the Starter Company Plus bootcamp program?

Depends on the week and times but easily 15-20 hours

16. Tell us why you are hoping to join the program and how you are hoping it will help you:

With my business in the state it is in, I know I would benefit from having a business coach and mentoring
sessions. I have learned a lot about business, but there is still much I can learn, especially regarding the
management aspect.

17. * By checking this box, I declare that I have reviewed the Starter Company Plus BOOTCAMP
Training Information sheet and have assessed that the training in this program would be useful to my
business and its growth.

18. * By checking this box, I declared that I have reviewed the Starter Company Plus BOOTCAMP
Training schedule and have assessed that I will be able to attend the training sessions. Dates are listed
below.

Schedule:

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 Wednesday, November 21st 9AM-12PM
Monday, November 26th 9AM-12PM
Tuesday, November 27th 9AM-12PM
Wednesday, November 28th 9AM-12PM
Thursday, November 29th 9AM-12PM
Friday, November 30th 9AM-12PM

The training will be held at 7 Bayview Road, Innovation Centre Bayview Yards/Invest Ottawa.

DISCLAIMERS and CERTIFICATIONS

PRIVACY POLICY: Invest Ottawa is committed to protecting your Personal Information, which protection
is regulated by the Freedom of Information and Protection of Privacy Act. Invest Ottawa may provide
your Personal Information to our funding partners to report statistical data and for audit purposes, and
to professional advisors and consultants. Invest Ottawa will never sell or release Personal Information to
any third parties, except as set out herein, or as may be required at law. If you have any questions or
concerns regarding Invest Ottawa’s privacy policy please report them directly to the applicable personnel
at Invest Ottawa.

INSURANCE AND RISK MANAGEMENT: The Program Provider has discussed risk management with you
(including, but not limited to managing business risk, personal safety risk, employee safety risk, third
party liability risk), as well as your obligation to obtain insurance applicable to your business. If you are
approved for a Starter Company Grant, you will be required to maintain applicable insurance based on
the standard for the industry within which you operate your business. The cost of such insurance must
be entered in the cash flow statement set out herein.

By checking this box, I hereby certify that the statements and information in this application are true
and correct to the best of my knowledge and belief, and I authorize Invest Ottawa to investigate all
statements or other information contained in this application form and any attachments submitted with
it, unless I have stated in writing to the contrary.

By checking this box, I declare my understanding and agreement that any misrepresentation,
falsification or material omission of information on this application may result in my failure to be
accepted into the Starter Company Program. I further acknowledge that I have read and understand the
Privacy Policy and Insurance and Risk Management provisions set herein.

E-Signature