Industrial Incubator Application Form – Morden Community Development Corporation Inc.

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MORDEN INDUSTRIAL INCUBATOR MALL
186 Cochlan Drive, Morden
Telephone: 204-822-5088
Email: Jdyck@mymorden.ca

If you’re experiencing issues with this webform you can fill out a PDF application form here.

Applicant's Name

First

Last

Business Name

Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Business Address (If different from above)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email

Phone

Business Description

Describe your business, including its history:

Describe your background/experience with the product/service:

Describe your market and clients:

Growth Potential

Do you currently have a business plan? If not, would you be willing to work with the MCDC or its partners to create one?

Describe your vision for the business in 5 years and how will you measure growth? (ie. sales, profit, # of employees, assets, value, and/or organizational capacity)

What potential risks to this vision do you anticipate?

Current and Projected Number of Employees

At Time of Occupancy:

Full-Time

Part-Time

One Year After Occupancy:

Full-Time

Part-Time

Five Years After Occupancy:

Full-Time

Part-Time

Incubator Program

Are you a resident of Morden?

Yes
No

Applicant hereby certifies that to the best of his/her knowledge that all the information stated on this application and attached to it, is true and accurate. Applicant understands that MCDC will retain this application and any attached materials whether or not it is approved.

Signature

Clear Signature

Date