Summer Startup Business Program

Section 1: Contact Information

Complete the application form below for the Summer Startup Business Program. Applicants should hear back within 2 weeks of their submission.

Please answer all questions in this section.

Email *

First name *

Last name *

Address *

Postal code *

City *

Province *

Phone number *

Date of birth *

Are you between the age of 16 and 29? *

YesNo

Are you returning to school this September? *

YesNo

Have you ever used the services of Youth Employment Services (YES)? *

YesNo

If yes, who was your Counsellor?

How did you find out about this program? *

Previous BizStart participantYES CounsellorYES WebsiteSocial media ad

Preferred language of communication *

EnglishFrenchOther

About you

What computer skills do you have?

Please check the boxes that apply to you:

I am currently unemployedI am currently employed part-timeI am currently employed full-timeI am a single parent.

My last level of education obtained is *

Are you enrolled in any other government agency or program at this time? *

YesNo

Do you belong to any of the following groups? (optional)

Indigenous CanadianVisible MinorityPersons with DisabilityNew comer

What is your citizenship status *

About your business idea

If you have a business idea, please describe it within 30 words or less *

For example: "My business will be a Graphic Design company serving pet stores in Toronto."

How much in startup costs will your business need? *

Provide the number only.

Please indicate any steps you have already taken to become self-employed:

Questions

Please answer each of the following questions. One paragraph per question, maximum of 100 words.

a) Why do you want to start your own business? *

b) Why do you feel that you will be successful with your own business? *

c) Does your background, experience or education support your business? *

d) What entrepreneurial skills, qualities or attributes do you possess? *

e) What need/problem in the marketplace will your product be solving? *

f) How much revenue do you aim to generate from your business by the end of summer? *

g) Why do you feel you need this program? *

Declaration and Consent

Check the box and leave your full name to give your declaration and consent.

Declaration and consent: by signing below, I declare that all information above is accurate and correct. I authorize the release and disclosure, now and in the future, of the information contained within this application to representatives from Youth Employment Services (YES) for reporting and fundraising purposes. If accepted into the program, I understand I will be asked to enter into a performance contract with Youth Employment Services (YES).

Please leave your signature by typing your full name *