Venture Program Application - Peter Thomson Centre for Venture Development
 


If you are experiencing problems submitting this on-line application
please contact the Peter Thomson Centre for Venture Development Office at 604-412-7650.
 

Fields with an * are required and if not completed your application will not be processed
       
    Semester Applying for:
       

    About You

    		  
    Gender:
    Birth Date: - - * (YYYY-MM-DD)
    BCIT Student # (if applicable):
    Is English your first language?:
    Yes
    No

     
    Highest Level of Education:
    Legal First Name: *
    Preferred First Name: *
    Middle Name:
    Last Name: *
    Previous Last Name (if applicable):
       

    Contact Info
    Home Phone Number ( ) - *
    Cell Phone Number ( ) -
    Work Phone Number ( ) -
    Employer Name:
    Home Email Address: *
    Home Address
    Home Street: *
    Home City: *
    Home Province: BC
    Home Country: Canada
    Home Postal Code: *
       
    About Your Business
     

    1. Business Name (if any at this time)

      Contact Info (if any at this time)

      Business Phone Number
      ( ) -

      Business Fax Number
      ( ) -

      Business Email Address


      Business Web Site
      		Business Address (if any at this time)

      Business Street


      Business City


      Business Province BC

      Business Country Canada

      Business Postal Code

       
    2. Business Industry Classification

       
    3. Specifically what products or services will you be selling? (15 words or less) *
       
       
    4. Describe your target market. *

       
    5. What benefit(s) does your product/service provide to your customers? *

       
    6. What stage is your product/service at? *

      If 'Other', then please list here:

       

    7. Why will your product/service be better than the competition? *

       
    8. If successful, what do you see your business developing into over the
      next five years? *

      If 'Other', then please list here:

       

    9. What are your venture's key success factors? *

       
    10. Will anyone other than you have critical influence on the success of your venture? *
      Yes
      No

      If Yes, Who?

       
    11. Is there an ideal season for the launch of your new venture? *
       
       
    12. Is there an ideal location for the launch of your new venture?
      Yes
      No

      If Yes, Where?
       
       
    13. How much time do you estimate it will take to launch your business? *
       
       
    14. Estimate your startup costs. *
       
       
    15. How much money do you have access to in order to finance your business? *
       
       
    16. Where will you obtain money for launching your prospective business? *
       
       
    17. Is there anything in your background that would preclude you from obtaining financing for your proposed business? i.e. unpaid student loans, bankruptcy etc. *
      Yes
      No

      If Yes, Please specify
       
       
    18. Do you have any concerns or reservations about your concept at this time? *
      Yes
      No

      If Yes, Please specify
       
       
    19. What reservations, if any, do you have about your ability to successfully launch
      and manage your business? *
       
       
    20. What are you prepared to risk in launching your new business? *
       
       
    21. What if anything, are you not prepared to risk in launching your new business? *
       
       
    22. What are you likely to lose if your business fails? *
       
       
    23. What have been the major contributing factors to your personal success
      in life thus far? *
       
       
    24. What do you feel are the major factors limiting your success in life? *
       
       
    25. List three achievements in your life that gave you a feeling of pride and
      accomplishment. *
      1.  
      2.  
      3.  
         
    26. Why do you feel these particular achievements stand out so distinctly in
      your memory? *
       
       
    27. Pick five qualities from the list below that you feel are essential to starting
      your own business and define them in your own words.
       
      Dedication

      Commitment

      Determination

      Focus

      Sacrifice

      Ego

      Pride

      Attitude
      		 Passion

      Failure

      Competition

      Challenge

      Risk

      Opportunity

      Success

      Entrepreneur


       
    28. Computer Skills
      Please indicate your skill level in the following areas
      (1 = no skill, 5 = high skill level)
         1   2   3   4   5 
      Word processing
      Spreadsheets
      Database
      Graphics
      Internet


       
    29. How did you hear about the Venture Program

      BCIT Publications
      Internet
      Newspaper
      Radio


      If you answered 'Other' in any category please list here:

       

    PRIVACY MESSAGE

    BCIT collects your personal and business information, including: your BCIT Student Number; date of birth; address and contact information; the nature of your business; confirmation that your business is up and running; investment, expenses and revenues of your business; your business targets and results; and operational business information. This information is used to measure results of the Venture Program.