Connect with Alberta Innovates

Are you interested in speaking with Alberta Innovates about our programs? Please complete the following questionnaire and we will respond within 48 hours.

PLEASE NOTE THIS IS NOT AN APPLICATION FOR FUNDING/GRANT SUPPORT
MANDATORY FIELDS *

Please send me communications about our programs, related announcements, new funding opportunities, or updates to same. You may unsubscribe any time by contacting intake@albertainnovates.ca.

Company

Legal Company Name

Trade Name

Year of Incorporation

Primary Industry Sector

No. of Employees

Website

Primary Contact

First Name

Last Name

Phone

Job Title

Address

Street 1

Street 2

City

State/Province

ZIP/Postal Code

Country

Secondary Contact

First Name

Last Name

Phone

Job Title

Requirements & Business Overview

Please describe your specific requirements in the text box below

Describe Your Business. Who are you and what does your company do?

Describe your innovation or product

Describe your target customer and market

Equality, Diversity and Inclusion

Please indicate your current age in years

Please select the option that best describes you

Do you identify as Indigenous; that is First Nation (North American Indian), Métis or Inuk (Inuit)?

Do you identify as a member of a visible minority?

Are you a person with a disability? Note: Person with a disability is a person who has a long‐term or recurring physical, mental, sensory, psychiatric or learning impairment and Who considers themselves to be disadvantaged by reason of that impairment; or Who believes that an employer or potential employer is likely to consider them to be disadvantaged in employment by reason of that impairment; and Includes persons whose functional limitations owing to their impairment may have been accommodated in their current job or workplace

Communication

How did you hear about Alberta Innovates

Who referred you (i.e. organization name, contact)

Please send me communications about our programs, related announcements, new funding opportunities, or updates to same. You may unsubscribe any time by contacting intake@albertainnovates.ca.

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