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1.2 NEW Venture Intake Form 2025
Venture Details
Venture Name
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Venture Logo (if you have one)
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Project Description (Please provide, in 200 words or less: the Problem you are trying to solve, your proposed solution, and your market size.)
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Primary Product Type:
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Hardware
Software
Intervention
Incorporated?
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Yes
No
No, but plan to
Annual Revenue at Intake ($ CDN):
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Number of Paid Employees at Intake:
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Number of Unpaid Employees at Intake:
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Where is your venture based?
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Canada
Outside of Canada
Team
Primary Contact
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Yes
No
First Name
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Last Name
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Job Title
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Phone
Email
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Education/ short bio (50 words or less)
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Uof T Affiliation
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UofT Student
UofT Faculty
Alumni within 2 years
Alumni over 2 years
Other
Other
No affiliation
Primary campus affiliation (if applicable):
St. George
UTM
UTSC
Which faculty or division? (If applicable.)
Select Your Primary Unit
Medicine by Design
ECHO
Medventions
CRANIA/KITE
Faculty of Applied Science and Engineering
Faculty of Arts and Science
Faculty of Continuing Studies
Faculty of Dentistry
Faculty of Education
Faculty of Information
Faculty of Kinesiology and Physical Education
Faculty of Law
Rotman School of Management
Faculty of Medicine: Anesthesiology and Pain Medicine
Faculty of Medicine: Biochemistry
Faculty of Medicine: Biomedical Engineering, Institute of
Faculty of Medicine: Donnelly Centre for Cellular and Biomolecular Research
Faculty of Medicine: Family and Community Medicine
Faculty of Medicine: Immunology
Faculty of Medicine: Laboratory Medicine and Pathobiology
Faculty of Medicine: Medical Biophysics
Faculty of Medicine: Medical Imaging
Faculty of Medicine: Medical Science, Institute of
Faculty of Medicine: Medicine
Faculty of Medicine: Molecular Genetics
Faculty of Medicine: Nutritional Sciences
Faculty of Medicine: Obstetrics and Gynaecology
Faculty of Medicine: Occupational Science and Occupational Therapy
Faculty of Medicine: Ophthalmology and Vision Sciences
Faculty of Medicine: Otolaryngology Head and Neck Surgery
Faculty of Medicine: Paediatrics
Faculty of Medicine: Pharmacology and Toxicology
Faculty of Medicine: Physical Therapy
Faculty of Medicine: Physiology
Faculty of Medicine: Psychiatry
Faculty of Medicine: Radiation Oncology
Faculty of Medicine: Rehabilitation Sciences Institute
Faculty of Medicine: Speech-Language Pathology
Faculty of Medicine: Surgery
Faculty of Music
Faculty of Nursing
Faculty of Pharmacy
Faculty of Public Health
Faculty of Social Work
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Additional Team Member(s)
minus1
Remove Team Member
Venture Readiness Assessment
Instructions:
1. Problem: What is the major problem that you are solving and who has defined this need to you?
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2. Market: What is the size of the market that your solution will be addressing?
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3. Team: Please describe what each member of your team brings to the table and if you have a scientific/Key Opinion Leader and/or business advisory board. Please list the latter
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4. Technology/Solution: Please describe your concept or solution and how it addresses your target market and how it solves the problem highlighted above. If you have or are planning to file patents and have a regulatory plan please describe it here.
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5. Customer / Revenue Model: Please describe who your customers are and your business/pricing model for selling your product or solution to these customers.
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6. Go To Market: Please describe how and through what channels you will be employing to get to your customer base. If you have a cost for customer acquisition please note it here.
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7. Competition: Who are you competitors and how do you stack up against them?
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8. Value Proposition: How do you differentiate your solution from the competition and what is your value proposition that your customers will identify with. How does your differentiation addresses the problem?
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9. Financials: Please provide your sales / cost / profit projections. If you are at a stage to raise money please provide your ask, what you will be spending it on, cash flow and exit strategy.
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10. Milestones: Please provide key milestones in your product development and business.
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Needs and Services
How did you hear about us?
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What opportunities are you looking for?
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H2i Services Requested (Select top 3)
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Entrepreneurial Education
Multi-disciplinary Training
Mentorship
Translational & Commercialization Assistance
Professional Services
Funding Opportunities
Investor Access
Equipment Access
Other
Other
Other comments: Please provide any other information that might be helpful for our mentors to understand your venture or needs
Submit
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