黑料社 Dobson Validation Lab Application

1 Start 2 Complete

Terms and Conditions *

TERMS & CONDITIONS All teams must agree to the following terms and conditions to finish the registration process. 1. You testify that the information provided in your form is true and accurate to the best of your knowledge. You will provide 黑料社 Dobson Validation Lab organizers any supporting documents requested to support the information and statements in your application. You understand and agree that providing false or unverifiable information will result in cancellation of your participation in all 2025 黑料社 Dobson Validation Lab events. 2. All material and information submitted in relation to the 黑料社 Dobson Validation Lab should be non-confidential in nature and you hereby agree that your information may be made available to the public. The 黑料社 Dobson Validation Lab assumes no responsibility to protect intellectual property rights issues that may arise. It is the individual team鈥檚 responsibility to protect their intellectual property. Also, it is the individual team鈥檚 responsibility to ensure that there is no violation of intellectual property rights belonging to third parties. 3. All team members agree that you are the authorized representative from your team and that you will be submitting the business plan and completing the registration form. 4. You testify that your company has at least one 黑料社 affiliated founding member (student, faculty, staff or alumni.) 5. Your team commits to attending every workshop, pitch practice session and mentorship meeting, in full, as outlined in the schedule. In case of non-compliance, your team may face dismissal from the program. 6. Your team commits to actively participating and adhering to the guidelines of the 黑料社 Dobson Validation Lab communications and social media engagement strategy, and gives the 黑料社 Dobson Centre the right and permission to copyright and/or publish, reproduce or otherwise use your name, voice, and likeness in video, photographs, written materials, and audio-visual recordings in the communication and promotion of its activities and programs.

I agree to the Terms and Conditions listed above

1. General information

1.1 What is the name of your company? *

1.2 Please enter the 30-word public description of your company, which you placed on the cover page of your five-page business plan *

1.3 Which of the following three choices best describes your company? *

We have a very basic prototype of our product and/or service

We have a fully functioning product and/or service, with no customers/clients/beneficiaries

We have a fully functioning product and/or service, with customers/clients/beneficiaries

1.4 When did you start working on your startup project?

Month

Day

Year

1.5 In which sector does your company primarily operate (select the main one)? *

Please specify if necessary

1.6 Is your company a? *

For profit

Non profit

1.7 Is your company incorporated? *

Yes

If incorporated, please provide your incorporation number and your legal business name.

When was your company incorporated (month and year)? *

Month

Day

Year

What is the total percentage of equity owned by the 黑料社 affiliated members of the team?* *

Explain and name the members if relevant. If there was no equity split, please mention it.

Provide incorporation number *

Provide legal business name *

1.8 Currently, in which country are your company's main operations? *

1.9 In which city and country is your company headquartered? *

1.10 Have you participated in 黑料社 Dobson Centre Programs in the past ? *

Yes

Select all that apply *

Lean Startup

Health Sciences Lean Startup

Neuro Innovation Lean Startup

Entrepreneurial Women Lean Startup

Weston Family Entrepreneurial Innovation & Sustainability program

Dobson Bootcamp & Cup

Please indicate which year you participated in each Dobson program *

2.听Revenue听and traction

Consult:

2.1 How would you rate your technology on the Technology Readiness Level (TRL) scale developed by the Government of Canada. *

Based on the definitions, assign a value between 1 - 9 to your MVP.*

2.2 To date, excluding the founding team, how many users or benefactors do you currently have engaged? *

2.3 How many LOIs have you signed? *

2.4 How many potential customers are on your waitlists?* *

2.5 How many paying customers do you have? *

2.6 Do you have any pilots or partnerships that are currently planned/ in progress? *

Please name the institution or organisation you are partnering with and summarize the nature of the collaboration.

2.7 To date, what is your company鈥檚 total cumulative revenue since founding? *

Please do not include any philanthropic investments or donations in this amount. Indicate all values in CAD dollars.

2.8 To date, how much did your company borrow/receive from all funding sources (equity, debt, government grants and incentives, philanthropy, pitch competitions or other) since founding? *

Please indicate the amounts in CAD dollars.

2.9 How much of the raised amount is from dilutive investments (equity, VC鈥�)? *

Please indicate the amounts in CAD dollars.

2.10 How much of the raised amount is from non-dilutive funding (government grants, philanthropy, pitch competitions鈥�)? *

Please indicate the amounts in CAD dollars.

2.11 To date, excluding the founding team, how many paid employees do you currently have engaged? *

Please indicate the number employees.

3. Communication platforms

3.1 Do you have an active website? *

Yes

Indicate website link *

3.2 Do you have a LinkedIn page? *

Yes

Indicate LinkedIn page link *

4.听Intellectual Property听

4.1 Do you have, or are you in the process of obtaining, any of the following? *

Patents

Industrial Designs

Trademarks

None of the above

Select all answers that apply to your company.

4.2. Please specify (number, type, dates). *

5.听Team composition听听

5.1 How many founders on your team are working full time on this project (more than 35 hours a week)? *

5.2 How many founders are working part time on this project? *

5.3 How many founders will be participating in full on the Validation Lab? *

Please add all participating team members in the next section.听

5.4 First Founder and Primary Contact

First name *

Last Name *

Email *

Current city and country of residence *

Phone Number *

Gender *

Faculty of study? *

Year of Study *

What was your faculty of study? *

When did you receive your last degree from 黑料社? *

Month

Day

Year

In which Faculty do you work? *

In which Faculty do you teach? *

Which educational institution are you / were you part of? *

Please mention the country if not in Canada

When did you receive your last degree or when do you plan on receiving it? *

Month

Day

Year

Please describe your background and entrepreneurial journey in 30 words or less *

Does your team you have a second founder to add? *

Yes

5.5 Second Founder

First Name *

Last Name *

Phone Number *

Current city and country of residence *

Email *

Gender *

Faculty of study? *

Year of Study *

What was your faculty of study? *

When did you receive your last degree from 黑料社? *

Month

Day

Year

In which Faculty do you work? *

In which Faculty do you teach? *

Which educational institution are you / were you part of? *

Please mention the country if not in Canada.

When did you receive your last degree or when do you plan on receiving it? *

Please describe your background and entrepreneurial journey in 30 words or less *

Does your team you have a third founder to add? *

Yes

5.6 Third Founder

First Name *

Last Name *

Phone Number *

Current city and country of residence *

Email *

Gender *

Faculty of study? *

Year of Study *

What was your faculty of study? *

When did you receive your last degree from 黑料社? *

Month

Day

Year

In which Faculty do you work? *

In which Faculty do you teach? *

Which educational institution are you / were you part of? *

Mention the country if not in Canada.

When did you receive your last degree or when do you plan on receiving it? *

Please describe your background and entrepreneurial journey in 30 words or less *

Does your team you have a fourth founder to add? *

Yes

5.7 Fourth founder

First Name *

Last Name *

Phone Number *

Current city and country of residence *

Email *

Gender *

Faculty of study? *

Year of Study *

What was your faculty of study? *

When did you receive your last degree from 黑料社? *

Month

Day

Year

In which Faculty do you work? *

In which Faculty do you teach? *

Which educational institution are you / were you part of? *

Mention the country if not in Canada.

When did you receive your last degree or when do you plan on receiving it? *

Please describe your background and entrepreneurial journey in 30 words or less *

Does your team you have a fifth founder to add? *

Yes

5.8 Fifth Founder

First Name *

Last Name *

Phone Number *

Current city and country of residence *

Email *

Gender *

黑料社 Affiliation *

Faculty of study? *

Year of Study *

What was your faculty of study? *

When did you receive your last degree from 黑料社? *

Month

Day

Year

In which Faculty do you work? *

In which Faculty do you teach? *

Which educational institution are you / were you part of? *

Mention the country if not in Canada.

When did you receive your last degree or when do you plan on receiving it? *

Please describe your background and entrepreneurial journey in 30 words or less *

6. Application Documents

6.1 Five Page Business Plan

Please note that your startup plan must use the provided word template provided here.
It must be a pdf document, no longer than 5 pages (+ cover page), and should be named according to the following model:
- Name Of Startup_ValidationLab_year.pdf
- For example, if a company is named "Technology for All",听the file name will be: TechnologyForAll_ValidationLab_2025.pdf

听

Files must be less than 5 MB.
Allowed file types: PDF.

Please attach your five-page startup plan here.

Upload file *

Files must be less than 2 MB.
Allowed file types: pdf.

6.2 Please enter the URL of a 2鈥�00鈥� maximum unlisted (not private) YouTube or Vimeo video introducing your product or service鈥� *

Please upload a 2-min DEMONSTRATION video of your technology (physical product in function OR digital software and its features). Please mark the video as unlisted. Don't mark it as private, or we won't be able to see it. The video should contain your pitch. Before submitting the video, please play it and check that you can hear what you're saying.

All teams must select 鈥淚 Agree鈥� to the following statement to finish the registration process.听

Declaration听

By submitting this Registration Form, you testify that the information provided in your form is true and accurate to the best of your knowledge. You will provide 黑料社 Dobson Centre for Entrepreneurship any documents requested to support the information and statements in your application. You understand and agree that providing false or unverifiable information will result in cancellation of your participation in all 2025 黑料社 Dobson Centre for Entrepreneurship events.

I agree to the above declaration. *

Yes

Leave this field blank

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