Welcome to the District 3 Startup Application!
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.

We advise you to be honest in your application as this will lead to the best results.
Start my Journey!
 
Hi there! We want to get to know you! Let's start with the basics...

 
Startup Name *

Don't have one yet? Make something up! After all, Facebook started off as "The Facebook"...
 
Please describe the problem you have identified and your proposed solution. *

Minimum 100 words.
 
Why do you care about this problem? *

Minimum of 100 words.
 
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
(2) Co-founders
- How many co-founders
- What is the responsibility of each co-founder?
- How much time will each co-founder be committing 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 private: https://support.google.com/youtube/answer/57407?co=GENIE.Platform%3DDesktop&hl=en
 
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
Don't have a logo yet? No worries!
 
Startup Website *

(If none, please write n/a)
 
Address of company headquarters

Street Address
City
State/Province
Country
Postal/Zip
(If none, please write n/a)
 
Which industry(s) does your company fall into? *


 
Is your company provincially or federally registered? *


 
What is your NEQ? (Quebec Enterprise Number for provincially registered businesses) *

 
What is your BN? (Business Number for federally registered businesses) *

 
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? *

 
What is your Linkedin?


Required, if you have one!
 
If you don't have a LinkedIn. Please, upload your CV.

 
What is your date of birth? *

 
What is your gender? *


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

Hi there. Just a reminder to be honest. Our programs are tough and require a lot of time. This will help us to determine what is the best fit for you!
 
What is your highest level of education achieved? *


 
Name of High School

 
Name of CEGEP/College

 
Which university institution(s) have you attended to attain your degree(s)? *


 
Are you currently a Concordia student? *

Never fear, this does not affect your candidacy. We gather this data for Concordia University.
     
 
Great to e-meet you {{answer_UsFrl2Ou8Dl7}}!

 
Do you have a co-founder? *

     
 
We want to know more about them!

 
First Name *

 
Last Name *

 
What is your phone number? *

 
What is your Linkedin?

 
What is your date of birth? *

 
What is your gender? *


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

Hi there. Just a reminder to be honest. Our programs are tough and require a lot of time. This will help us to determine what is the best fit for you!
 
What is your highest level of education achieved? *


 
Name of High School

 
Name of CEGEP/College

 
Which university institution(s) have you attended to attain your degree(s)? *


 
Are you currently a Concordia student? *

Never fear, this does not affect your candidacy. We gather this data for Concordia University.
     
 
Great to e-meet you {{answer_UsFrl2Ou8Dl7}} and {{answer_QNAF86JEETtC}}!

 
Do you have a third co-founder?

     
 
We want to know more about them!

 
First Name *

 
Last Name *

 
What is your phone number? *

 
What is your LinkedIn?

 
What is your date of birth? *

 
What is your gender? *


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

Hi there. Just a reminder to be honest. Our programs are tough and require a lot of time. This will help us to determine what is the best fit for you!
 
What is your highest level of education achieved? *


 
Name of High School

 
Name of CEGEP/College

 
Which university institution(s) have you attended to attain your degree(s)? *


 
Are you currently a Concordia student? *

Never fear, this does not affect your candidacy. We gather this data for Concordia University.
     
 
Great to meet you! Now it's time to dig a little deeper...

 
Have you previously participated in a District 3 program? *

     
 
Have you previously applied to a District 3 program? *

     
 
What was your idea?

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

In months please!
 
How do you think that being a part of District 3 will help you in your startup journey? *

 
Please check all that apply to your startup *


 
Have you filed for a patent or patent provisional *

     
 
Please provide the title(s) of the published supporting research along with contributor's name(s) and year of publishing. *

 
Have you built the first prototype of your product or service? *

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

 
Time to talk money $$$

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
 
Total sales to date ($) *

 
Are most of these sales coming from the solution you plan on working on here at D3? *

     
 
Number of employees or team members (non-founders) *

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

 
If you have already built a financial model, please attach it here.

 
Is your startup... *


 
B2C: Have you made over 10 sales or do you have over 500 free users? B2B/B2G: Have you made over 1 sale or do you have over 50 free users? *

     
 
Pitch Deck

One which you have already used in the past. If you do not have this, don't worry about it. We do not require that you make one for this part of the application process.
 
We need some last details!

 
How did you hear about District 3? *


 
Which D3 Event?

 
Name of friend/colleague

 
Name of D3 founder

 
Name of Mentor

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

     
 
Which accelerator or incubator? *

 
Well that was fun! Thank you for sharing all of this information with us! We now have all the information that we need to determine whether we can help you along your startup journey.

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

Thank you for your application!

You should receive the next steps via email in the next few weeks.
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