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Organization Name
Primary Contact Name
Title/Role
Email Address
Phone Number
Website (if available)
Organization Type Non-ProfitFor-Profit BusinessGovernment AgencyEducational InstitutionOther
Please specify:
How does your organization support entrepreneurs or underrepresented founders?
Which sectors or industries does your organization focus on? (Select all that apply) TechnologyHealthtechFintechAgritechCleantechArtificial Intelligence (AI)Other
Please specify
What type of partnership opportunities are you interested in? (Select all that apply) Event CollaborationMentorship ProgramsFunding or Investment SupportAccess to Networks & ResourcesJoint Marketing & OutreachOther
Have you worked with startup or investment networks before? YesNo
How did you hear about Nexis Venture Studio?
Why do you want to partner with Nexis Venture Studio?
Anything else you’d like us to know about your organization?
Next Steps: Once submitted, our team will review your application and reach out to discuss potential next steps.
Information submitted via this form is protected and will not be shared with third parties.
Your Name
Your Email
Province
LinkedIn Profile
Company Website (if available)
Do you have co-founders? Yes (please list names & roles below)No
Co-Founder(s) Information (if applicable)
Founder Demographics (optional, for diversity tracking): Gender Identity: MaleFemaleNon-binaryPrefer not to sayOther
Please specify other gender:
Ethnic Background: IndigenousBlackAsianHispanic/LatinxMiddle EasternWhiteOther
Do you identify as part of any underrepresented group (e.g., LGBTQ+, persons with disabilities)? YesNo
Company Name
Company Headquarters (City & Province)
Year Founded
Company Stage Idea StagePrototype/MVP DevelopedPre-RevenueGenerating RevenueScaling Up
Brief Description of Your Business (2-3 sentences)
Sector Focus (select all that apply) FintechHealthtechAgritechCleantechArtificial Intelligence (AI)Other
What problem does your startup solve?
Who is your target market?
What is your unique value proposition?
Current Monthly Revenue (if applicable)
Total Capital Raised to Date (if any)
What key milestones have you achieved? (e.g., product launches, partnerships, revenue targets, customer growth)
How many paying customers or active users do you currently have?
Have you participated in any accelerator, incubator, or mentorship programs? YesNo
Are you currently seeking funding? YesNoPlanning to raise within the next 6 months
If seeking funding, what is your target amount and how will it be used?
What areas do you need the most support in? (Select all that apply) FundingMentorshipNetworking & ConnectionsProduct DevelopmentGo-to-Market StrategyHiring & Talent AcquisitionOther
Do you currently have any advisors or mentors supporting your business? YesNoIn the process of finding advisors
Why do you believe Nexis Venture Studio is the right fit for your startup?
Anything else you’d like us to know about your business or your journey?
Next Steps: Once submitted, our team will review your application and reach out to discuss potential next steps. If your startup aligns with our investment thesis, we may invite you for an introductory meeting.
