StartUp Visa Application

Blueprint, an exclusive 6-week premium training and mentorship experience. This program is designed to empower early-stage global tech entrepreneurs with the opportunity to validate their startup concepts and translate them into viable businesses in the Canadian Market and beyond.

Page 1 of 2 - Startup Information

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Company Name *
Company Website *
Primary Contact Primary Contact * First Last
Phonetic Pronunciation of Name
Email *
Primary Contact's Mailing Address Primary Contact's Mailing Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
What is your current Country of Residence? *
Founder's Linkedin Profile *
Phone Number Phone Number * - ### - ### ####
How did you hear about the program? *

How did you hear about the program? YSpace Website IRCC Startup Visa Website Email Newsletter Google Search Instagram Linkedin Other Other
VENTURE INFORMATION

Please answer the questions accurately as due diligence will be performed upon acceptance.
What does your startup do? *
Maximum of 100 words allowed. Currently Entered: 0 words.
Briefly describe your venture and communicate it's core value.
Upload a pitch deck or any supporting documentations *

Attach Files
Stage of Venture *

Stage of Venture Stage 0 - IDEA (You have an idea and are exploring the market and technology with respect to that idea) Stage 1 - DISCOVERY (You've identified a possible new product or service to introduce to the market at a profit. Your value proposition is established; you are testing ideas and identifying customers; you are looking into financing opportunities) Stage 2 - VALIDATION (You have an established business model; you have a minimum viable product or MVP; you have verified your customers; you have some customer orders) Stage 3 - EFFICIENCY (Customers are being acquired efficiently, product is deliverable at a profit and business model is being fine-tuned; You are pursuing early stage VC.) Stage 4 - SCALE (You have a validated product and market; You're attempting to drive firm growth aggressively; You're seeking A Round financing, making executive hires and refining your process)
What industry does your startup fall under? *

What industry does your startup fall under? Agriculture, forestry, fishing and hunting. Mining, quarrying, and oil and gas extraction. Utilities. Construction. Manufacturing. Wholesale trade. Retail trade. Transportation and warehousing. Information and cultural industries. Finance and insurance. Real estate and rental and leasing. Professional, scientific and technical services. Management of companies and enterprises. Administrative and support, waste management and remediation services. Educational services. Health care and social assistance. Arts, entertainment and recreation. Accommodation and food services. Other services (except public administration). Public administration.

Please answer the following questions in regards to the stage of your venture: *
	Yes	No
Do you have a working prototype?	Do you have a working prototype?Yes	Do you have a working prototype?No
Do you have any paying customers?	Do you have any paying customers?Yes	Do you have any paying customers?No
Do you have any non-paying users/customers or any pilot projects underway?	Do you have any non-paying users/customers or any pilot projects underway?Yes	Do you have any non-paying users/customers or any pilot projects underway?No
Do you have any patents filed/granted?	Do you have any patents filed/granted?Yes	Do you have any patents filed/granted?No
Have you received any external funding (including friends & family, angels, VCs, grants, loans, crowdfunding, ICO, etc.)?	Have you received any external funding (including friends & family, angels, VCs, grants, loans, crowdfunding, ICO, etc.)?Yes	Have you received any external funding (including friends & family, angels, VCs, grants, loans, crowdfunding, ICO, etc.)?No
Is your start-up an extension of, or a spin-off from another business/organization?	Is your start-up an extension of, or a spin-off from another business/organization?Yes	Is your start-up an extension of, or a spin-off from another business/organization?No

Please identify the areas where you need immediate support: * *

Please identify the areas where you need immediate support: * Defining Overall Business Strategy Product Launch/Go-to market Strategy Implementing/Prototyping Sales and Business Development Marketing and Branding Hiring/Human Resources Connecting with industry/academic/government partners Personal Growth & Development Financial Management Fund raising Other Other
Please upload your video pitch, which should not exceed 7 minutes, using the link provided below:

https://airtable.com/appoG3BsyKrIiAuFJ/pagO8EjRigovhVu5V/form *

Please upload your video pitch, which should not exceed 7 minutes, using the link provided below:

https://airtable.com/appoG3BsyKrIiAuFJ/pagO8EjRigovhVu5V/form I have uploaded.
BUSINESS MODEL

Please talk to the various components of your business model and it's scaling opportunities.
What is the problem that your business is trying to solve? *
Maximum of 100 words allowed. Currently Entered: 0 words.
What is different or unique about your solution to solve the problem? *
Maximum of 100 words allowed. Currently Entered: 0 words.
Who is your main target market? *
Maximum of 100 words allowed. Currently Entered: 0 words.
Explain the demographics and tell us why.
What is your revenue model? *
Maximum of 100 words allowed. Currently Entered: 0 words.
PERSONNEL/TEAM INFORMATION

Please provide details of all your team members, including the "Primary Contact" mentioned above.
Number of Founders *

Total number of all equity sharing co-founders, not including employees, contractors, advisors or volunteers
Information of Founder #1
Founder 1 Full Name Founder 1 Full Name * First Last
Phonetic Pronunciation of Name
Email *
Founder's Personal Linkedin *
Information of Co-Founder #2
Co-founder 2 Full Name Co-founder 2 Full Name * First Last
Phonetic Pronunciation of Name
Email *
Founder's Personal Linkedin *
Information of Co-Founder #3
Co-founder 3 Full Name Co-founder 3 Full Name * First Last
Phonetic Pronunciation of Name
Email *
Founder's Personal Linkedin *
Information of Co-Founder #4
Co-founder 4 Full Name Co-founder 4 Full Name * First Last
Phonetic Pronunciation of Name
Email *
Founder's Personal Linkedin *
Information of Co-Founder #5
Co-founder 5 Full Name Co-founder 5 Full Name * First Last
Phonetic Pronunciation of Name
Email *
Founder's Personal Linkedin *
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

StartUp Visa Application

StartUp Visa Application

Page 1 of 2 - Startup Information

VENTURE INFORMATION

BUSINESS MODEL

PERSONNEL/TEAM INFORMATION

Information of Founder #1

Information of Co-Founder #2

Information of Co-Founder #3

Information of Co-Founder #4

Information of Co-Founder #5