Welcome to the District 3 Startup Application
In just a couple of steps you can begin your journey to launch or grow your startup with District 3.

Step 1: Submit this Form
After reviewing all the applications we will invite select startups for an interview.

Step 2: Live Pitch at District 3
After the interview, should we feel you would make a good fit at District 3, you will be invited to join the program we think best suits your startup. These programs run at different times throughout the year and range from 12 to 24 weeks in duration.

The following form asks many questions ranging from information about your team and co-founders to your startup and progress. From your answers we will learn of the problem you have identified, your proposed solution, why this problem is important to you, and how being a part a District 3 will help you. We also require that every startup submit a short video that touches on the questions listed above. More information on the video requirements are included in the form below.

We value rigorousness and professionalism, so make sure your application is mistake-free by using Antidote [https://goo.gl/fn8c6N].

We advise you to be honest and thorough in your application as this will lead to the best results as you start your journey with District 3.

All information submitted to District 3 is confidential. By filling out and submitting this form, you agree to share confidential information about yourselves and your startup business that will not be shared publicly or outside of District 3.
Start my Journey
 
Let's begin. We look forward to learning about you and your startup.

 
Startup Name *

 
Describe the problem you have identified. *

Provide as much information as you can about the problem you are trying to solve. Include any data demonstrating the significance of the problem. Describe how others have tried to solve this problem.

100 - 200 words
 
Describe your solution to the problem you have identified. *

Provide as much information as you can about your solution and what makes your solution unique and effective.

100 - 200 words
 
Why is this problem important to you? *

We want to know what motivates and inspires you and your team to tackle this problem.

100 - 200 words
 
Is there published research about your problem or that supports your solution?

Please provide the title(s) of the published research along with contributor's name(s) and year of publication.
 
How will being a part of District 3 help you in your startup journey? *

What do you think District 3 can help you with? Be as specific as possible.
 
Link to your video pitch *

Your video pitch should be 2 minutes containing the following information:
(1) Idea
- The problem that you have identified.
- The solution you propose to the identified problem. (if applicable)
(2) Co-founders
- How many co-founders?
- What is the responsibility of each co-founder?
- How much time will each co-founder be committing to if you get into the program?
- What are your other commitments? (competitions, programs, school, work, family...)
(3) What do you hope to get out of District 3?
*If a maximum 2-minute video pitch is not submitted, the application will not be considered.

Don't know how to upload a video to Youtube? Find instructions here. The video can be set to unlisted, however make sure we will still be able to view it: https://goo.gl/oLs7fi
 
Startup Website

 
Logo

If you have a logo, please upload your logo in the following format:
- High definition (over 1500px wide, 300dpi)
- .jpg, .png, .psd, .eps or .ai
- Name the file with your Startup Name (e.g. Concordia_Logo)
 
Address of startup headquarters

Street Address
City
State/Province
Country
Postal/Zip
 
Which sectors does your company fall into? *


 
Please select all Creative & Cultural industries which you operate in. *


 
Please select all Communication & Transportation industries which you operate in. *


 
Please select all Education & Governance industries which you operate in. *


 
Please select all Finance & Accounting industries which you operate in. *


 
Please select all Green & Energy industries which you operate in. *


 
Please select all Health & Bio industries which you operate in. *


 
Please select all Material & Manufacturing industries which you operate in. *


 
Please select all Retail & E-commerce industries which you operate in. *


 
Have you ever been part of another accelerator or incubator? *

     
 
Which accelerator or incubator? *

 
Was your startup created from a contest, event, or workshop?

     
 
Which contest, event, or workshop was your startup created from? *


 
How long have you been actively working on your current solution? *

Approximately how many months?
 
Have you built the first prototype of your product or service? *

This will help us to determine where you are in your journey and whether or not you could use the help of our Design Lab.

 
Have you filed for a patent or provisional patent? *

     
 
Is your company provincially or federally registered? *


 
What is your BN? *

Business Number for federally registered businesses.
 
What is your NEQ? *

Quebec Enterprise Number for provincially registered businesses.
 
The following questions will focus on the finances of your startup.

Please note all District 3 employees who will be reviewing your application have signed Non-Disclosure Agreements (NDA). All data is confidential.
 
How long can you financially sustain yourself if you were to solely work full-time on your startup? *


 
What are your sources of funding to date? *

Bootstrapping means you're only using your own sweat and money.
Equity investors include investors who issued convertible debt instruments or SAFE

 
What grant(s) did you receive?

 
Tell us a bit more about your external investors. Are they... *


 
How much money have you raised? *

Include all sources including co-founder's cash investment.

Provide a value in dollars.
 
What are your total sales to date? *

Provide a value in dollars.
 
Are most of these sales coming from... *


 
How many employees or team members (non-founders) currently working for your startup? *

Part-time and Full-time employees who are not co-founders.
 
Total amount paid to employees (non co-founders) to date. *

Provide a value in dollars.
 
Is your startup... *


 
As a B2C have you made over 10 sales or do you have over 500 free users? *

     
 
As a B2B or B2G have you made over 1 sale or do you have over 50 free users? *

     
 
Now for a couple questions about yourself...

This person will be the main point of contact.
 
First Name *

 
Last Name *

 
What is your phone number? *

Please provide just the 10 digits that makes up the number.
 
What is your LinkedIn profile?

Sharing your LinkedIn profile allows us to see all of your accomplishments and to connect with you.
 
If you don't have a LinkedIn profile, please upload your CV.

Name the file with your first and last name (e.g. Joe Doe_CV) in a PDF format.
 
What is your date of birth? *

 
What gender do you identify the most with? *


 
How many hours per week are you willing to commit to your startup if you are accepted into a District 3 program? *

Please be honest, our programs are tough and require a lot of time. This will help us determine what is the best fit for you.
 
What is your professional background? *

Please only include relevant experience to your problem/field, entrepreneurship, or intrepreneurship experience.

 
As a university researcher or faculty where have you worked? *


 
How many years of relevant experience do you have? *

Please only include experience related to your problem/field, entrepreneurship, or intrepreneurship experience.
 
What is your highest level of education? Achieved or currently attending. *


 
What is the name of the last High School you have attended?

 
What is the name of the last CEGEP/College you have attended?

 
Which university institution(s) have you attended? *


 
Have you previously participated in a District 3 program or received coaching? *

     
 
What program were you involved in or who coached you at District 3? *

Maximum 250 characters.
 
Have you previously pitched at District 3 and was not selected? *

     
 
What was the idea used for the previous application(s) to District 3? *

Maximum 250 characters.
 
Great to meet you {{answer_mbkgdayn4Xy9}}!

 
Do you have a co-founder? *

A co-founder is someone that has equity or a stake in the startup.
     
 
We want to know more about them.

 
First Name *

 
Last Name *

 
What is your phone number? *

Please provide just the 10 digits that makes up the number.
 
What is your LinkedIn profile?

Sharing your LinkedIn profile allows us to see all of your accomplishments and to connect with you.
 
If you don't have a LinkedIn profile, please upload your CV.

Name the file with your first and last name (e.g. Joe Doe_CV) in a PDF format.
 
What is your date of birth? *

 
What gender do you identify the most with? *


 
How many hours per week are you willing to commit to your startup if you are accepted into a District 3 program? *

Please be honest, our programs are tough and require a lot of time. This will help us determine what is the best fit for you.
 
What is your professional background? *

Please only include relevant experience to your problem/field, entrepreneurship, or intrepreneurship experience.

 
As a university researcher or faculty where have you worked? *


 
How many years of relevant experience do you have? *

Please only include experience related to your problem/field, entrepreneurship, or intrepreneurship experience.
 
What is your highest level of education? Achieved or currently attending. *


 
What is the name of the last High School you attended?

 
What is the name of the last CEGEP/College you have attended?

 
Which university institution(s) have you attended? *


 
Have you previously participated in a District 3 program or received coaching? *

     
 
What program were you involved in or who coached you at District 3? *

Maximum 250 characters.
 
Have you previously pitched at District 3 and was not selected? *

     
 
What was the idea used for the previous application(s) to District 3? *

Maximum 250 characters.
 
Great to meet you {{answer_mbkgdayn4Xy9}} and {{answer_D9EhKiwzaTe9}}!

 
Do you have a third co-founder? *

A co-founder is someone that has equity or a stake in the startup.
     
 
We want to know more about them.

 
First Name *

 
Last Name *

 
What is your phone number? *

Please provide just the 10 digits that makes up the number.
 
What is your LinkedIn profile?

Sharing your LinkedIn profile allows us to see all of your accomplishments and to connect with you.
 
If you don't have a LinkedIn profile, please upload your CV.

Name the file with your first and last name (e.g. Joe Doe_CV) in a PDF format.
 
What is your date of birth? *

 
What gender do you identify the most with? *


 
How many hours per week are you willing to commit to your startup if you are accepted into a District 3 program? *

Please be honest, our programs are tough and require a lot of time. This will help us determine what is the best fit for you.
 
What is your professional background? *

Please only include relevant experience to your problem/field, entrepreneurship, or intrepreneurship experience.

 
As a university researcher or faculty where have you worked? *


 
How many years of relevant experience do you have? *

Please only include experience related to your problem/field, entrepreneurship, or intrepreneurship experience.
 
What is your highest level of education? Achieved or currently attending. *


 
What is the name of the last High School you have attended?

 
What is the name of the last CEGEP/College you have attended?

 
Which university institution(s) have you attended? *


 
Have you previously participated in a District 3 program or received coaching? *

     
 
What program were you involved in or who coached you at District 3? *

Maximum 250 characters.
 
Have you previously pitched at District 3 and was not selected? *

     
 
What was the idea used for the previous application(s) to District 3? *

Maximum 250 characters.
 
Just a few more questions.

 
How did you hear about District 3? *


 
Which District 3 event?

 
What is the name of the friend or colleague?

 
What is the name of the District 3 Staff?

 
What is the name of the mentor?

 
You have reached the end of the District 3 Startup Application.

 
Are there any additional comments you would like to add to support your application?

Thank you for submitting your application! You should receive a confirmation email shortly outlining the next steps in the application process.
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