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Company Name *

Address

Name *

E-Mail *

Phone *

Website

Line of Business *

Total No. of Employees

Fiscal Year End of Company (FYE)

Canadian Controlled Private Corporation * YesNo

Are you currently getting any government funding? (If yes, choose options below) * SREDIRAPDigital Media and Computer Animation FundingUS R&E Tax CreditsUK Tax CreditsGovernment GrantsOthers

Are you interested in any of the following government funding? * SREDIRAPDigital MediaGlobal R&DIndustrial Research Assistance Program (IRAP)CAP/CAP - CSO (Cost Share Opportunity) - Agri-Food IndustryStrategic Innovation Fund (SIF)Northern ON Heritage Fund - NOHFFedNorAutomotive Supplier Improvement Program (ASCIP)Canada Summer Jobs (CSJ)Youth Employment Program (NRC - YEP)Apprenticeship Job Creation Tax CreditApprenticeship Training Tax CreditEngage GrantsInformation and Communications Technology Council (ICTC)Summer Temporary Employment Program (STEP)Canada-Ontario Job Grant (COJG) / Canada Job Grant (CJG)Yvves LandryCanExportExport Market Access: A Global Expansion Program (EMA)GreenON - Food ManufacturingCME Smart GreenSustainable Development Technology Fund (SDTF)Clean Energy Innovation Program (CEIP)Eastern Ontario Development Fund (EODF)Southwestern Ontario Development Fund (SODF)Others

Upcoming Expenditures InnovationHiringTrainingExportsClean/Green TechCapacity ExpansionOther

Amount of Funding Needed

Line of Business/Industry ManufacturingMachiningPlastics & MouldsSoftware, IT & Mobile ApplicationsDigital Media, Animation, EntertainmentEngineering, Aerospace, Oil and Gas, Transportation, FoundriesAgriculture, Food & BeverageLife Sciences, MedicalBiotech, Pharmaceuticals, NutraceuticalsClean Tech and Green Tech (Environmental Energy)Other

Country CanadaUSAUK

Are you incorporated? YesNo

Incorporation Status For ProfitNot For ProfitSole ProprietorshipPartnership