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Future Entrepreneur Registration Form

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Future Entrepreneur Registration Form

Future Entrepreneur Registration Form

Welcome to Aurora Innovators Mentorship HUB (AIM HUB)!

Personal Information

1. Full Name

2. Email

3. Phone Number

4. LinkedIn Profile (optional)

5. Address

City

Province

Startup Idea Information

6. Name of Your Startup (If applicable)

7. Brief Description of Your Startup Idea/Concept

8. What problem does your idea aim to solve?

9. Is your idea in the concept stage or do you have a prototype?

Concept stage

Prototype ready

Idea has been tested with users

10. Do you have a team or are you currently a solo entrepreneur?

Team

Solo Entrepreneur

11. What specific area does your idea focus on? (Select all that apply)

Technology

Marketing

Healthcare

Consumer Goods

Finance

Education

Other (Please Specify)

Entrepreneurial Goals & Support

12. What do you hope to achieve through the Future Entrepreneur program? (Select all that apply)

Develop my product or idea

Receive mentorship

Build a business plan

Learn how to get funding

Network with other entrepreneurs

Improve marketing and branding

Test my idea with potential customers

Other (Please specify)

13. What areas do you need the most support in? (Select all that apply)

Business Strategy & Planning

Product Development

Marketing & Branding

Finding Investors/Funding

Customer Research & Validation

Networking & Connections

Pitching & Presenting

Legal & Regulatory Advice

Other (Please specify)

Current Stage of Your Startup

14. Have you conducted market research or validated your idea?

Yes

Partially

15. Have you assembled a team for your startup?

Yes

Looking for team members

16. Are you actively working on building your MVP (Minimum Viable Product)?

Yes

Not yet, but planning to start soon

17. What is your biggest challenge at this moment in your entrepreneurial journey?

Mentorship and Resources

18. What type of mentorship are you looking for? (Select all that apply)

Business Development

Marketing Strategy

Funding and Investor Guidance

Product Development & Design

Legal/Financial Advice

Pitch Coaching

Other (Please specify)

19. Are you interested in participating in any of the following AIM HUB activities? (Select all that apply)

Hackathons

Networking Events

Speaker Sessions (Virtual or In-person)

Startup Pitch Competition

Business Connect Events

Other (Please specify)

Business Contact Information

20. Primary Contact Name:

21. Primary Contact Title/Role:

22. Primary Contact Email:

23. Primary Contact Phone Number:

Additional Information

24. Why do you want to join the Future Entrepreneur program at AIM HUB?

25. What do you hope to gain from being part of AIM HUB?

26. Any additional comments or information you would like to share?

27. Upload your profile photo (jpg , Png ) (Max size: 8 MB)

Choose File

28. Upload your resume .

Choose File

By submitting this form, you consent to being part of the Future Entrepreneur program at AIM HUB. You agree to provide truthful and accurate information. Your submission will be reviewed, and we will get in touch with you to discuss the next steps.

I agree to the terms and conditions and consent to the data usage for the purpose of this application.

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Address: Canada

Phone: +1 437 9225 683

Email: connect@aimhub.ca

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