Henry Bernick Entrepreneurship Centre
HBEC Terms and Conditions
Company Name *
Please enter your company name or the company name you have in mind. Select your company if you see it in the list.
If you have not decided on a company name yet then enter your firstname-lastname here as your company name.
By checking this box, I agree to the terms and conditions located at the top of this form.
First Name *
Last Name *
Phone Number *
Address Line 2
Postal Code *
Business Phone Number
If different from your personal phone number
Describe your business idea and/or model *
Is the founder or co-founder of this business female? (Please check if yes)
What is your gender? *
Prefer Not To Answer
Is the founder or co-founder of this business between the ages of 18 and 29? (Please check if yes)
Is the founder or co-founder of this business under the age of 18? (Please check if yes)
Are any of your co-founders a student of Georgian College, or Lakehead? (Please check if yes)
Are any of your co-founders a graduate of Georgian College, Lakehead or Laurentian? (Please check if yes)
Is your business a not-for-profit? (Please check if yes)
Is your business a social enterprise? (Please check if yes)
Are you participating in the VentureLAB program? (Please check if yes)
Are you participating in the Futurpreneur program? (Please check if yes)
Have you been working with a Small Business Enterprise Centre (SBEC)? (Please check if yes)
Have you been working with Innovation Guelph? (Please check if yes)
Have you been working with YMCA? (Please check if yes)
Have you been working with YWCA?
Do you self-identify as Aboriginal? (Please check if yes)
If you answered 'Yes' to the above question, please specify your aboriginal ancestry
Status First Nation
Non-Status First Nation
Which Aboriginal organization, Band or Métis Community are you affiliated with?
Have you registered your business
I have not registered my business
In the USA
Does your product/service have intellectual property?
Which best describes your business, social enterprise, or idea?
Please indicate which sector best represents your business
Advanced Material and Manufacturing
Digital Media and ICT
Food and Beverage
Life Science and Advanced Health
Tourism and Culture
What can we help you with
Please check all that apply
Public Funding Scan
Secondary Market Data
Patents and Trade Marks
Specialized Industry Expertise
Private Funding Sources
Notification of Entrepreneurial Events
Access to Seed Funding
Please indicate the stage of your business/social enterprise/idea *
We have just a few more questions about your business/business idea
Please tell us about the founder(s) of the company
How many full time employees, including founders, do you have to date?
How many part time employees, including founders, do you have to date?
Who are your competitors?
What is your competitive advantage?
Define your target customer
What is the size of your market?
What is your current revenue?
Are you currently looking for funding?
If you answered 'Yes' to the above question, how much money are you looking to raise?
What types of funding have you received so far?
How will you use the money?
How did you hear about us?
Please check all that apply
If you answered 'other' to the above, please specify
Were you referred by any of the following?
South Georgian Bay Small Business Enterprise Centre
The Town of Collingwood
North Simcoe Community Futures Development Corp
Métis Nation of Ontario
York SBEC (Small Business Enterprise Centre)
I was not referred
If you selected 'other' to the above question, please specify your referral
By completing your registration, you consent to receive electronic communications from HBEC
Do you consent?
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Traction Employment Entry
Date for employees (select today)
Total Number of Employees
Enter in the TOTAL number of employees as of today.
Full-time or part-time
Traction Revenue Entry
Date for Revenue (select today)
Revenue made in the past 12 months to today.
Enter in the TOTAL revenue made in the past 12 months.
Traction IP Entry
IP Date (enter the date for when the IP was filed)
IP filing Number
Enter in all IP that has been filed
The type of Patent
Country where IP was filed.
Traction Investment Entry
Date of investment
Enter in the investment amount for each investment type for each date.
The type of investment angel, vc, etc.
Traction Stage Entry
Date for stage Entry (select today)
The current stage of your company.
Idea: identifying problem/solution, prototype, IP and financing strategy, founding team.
Discovery: MVP, market testing, funds for development and market acceptance.
Validation: payment ready, early sales, funds to scale.
Efficiency: manufacturing and supply chain, repeatable sales model, proven profitable business model roadmap.
Scale: becoming a (sustainable) business.