Launchpad Application Form

LAUNCHPAD

LAUNCHPAD APPLICATION FORM

Your Name(Required)

First Last

Your Personal Pronouns

Email(Required)

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Old_Language(Required)

English (oral/written)

French (oral/written)

Language

English (oral/written)

French (oral/written)

Address(Required)

Street Address Address Line 2 City Province Postal Code

Region of Operations

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Old_Region of operations

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Old_Are you seeking support for an existing project?(Required)

Yes

Social Economy Enterprise Name(Required)

Social Economy Enterprise Description(Required)

How long has the social enterprise been in existence? How long have you been associated with it?(Required)

What is your role within the social economy enterprise?(Required)

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Old_Have you secured any other financial support?(Required)

Yes

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Old_If you answered "yes" to the previous question, please identify your funders.

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Old_How many team members are involved in your project?(Required)

Website/Social Media Links (Please insert if they exist.)

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Old_Website/Social Media Links (Please insert if they exist.)

What are you looking for in terms of support from a mentor? Which areas of your social economy enterprise are you hoping to move forward?(Required)

What is the desired timeline for your mentorship support?(Required)

Do you have the capacity to remotely work with your mentor at least 5 times over a one-year period?(Required)

How did you hear about the Launchpad Mentorship Program?(Required)

Please upload the most recent version of your CV or any other supporting documents (maximum 3).(Required)

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 100 MB, Max. files: 3.

Phone

This field is for validation purposes and should be left unchanged.

This project has been made possible with the financial support of the Secrétariat aux relations avec les Québécois d’expression anglaise.

WANT TO LEARN MORE ABOUT THE SOCIAL ECONOMY?

Check out our podcast and video series to learn what the social economy is and to see examples of social economy enterprises.

THE SOCIAL ECONOMY INITIATIVE OF THE REGIONAL DEVELOPMENT NETWORK

LAUNCHPAD APPLICATION FORM

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