Please enable JavaScript in your browser to complete this form.Life Sciences BC Investor Readiness Program 2024DEADLINE: July 31st, 2023EligibilityTo be eligible for Life Sciences British Columbia’s 2024 Investor Readiness Program the participating firm must currently be an NRC IRAP client. If your firm is not yet an NRC IRAP client, please call the toll-free number below to discuss your potential IRAP eligibility with an IRAP Client Engagement Advisor – 1-877-994-4727.General InformationCompany Name *Address (BC Address Required) *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryNumber of Full-time Employees *Number of Technical Employees *If publicly traded, please provide a stock symbol Company Website Is your firm incorporated? *YesNoIf answered yes, please provide incorporation date If answered yes, please provide jurisdiction of incorporation If answered yes, please provide the CRA business number Is your firm currently an NRC IRAP Client? *YesNoIf yes, please provide name of IRAP Industrial Technology Advisor (ITA) Please describe your industry subsector *BiotechnologyDiagnosticsDigital HealthGenomicsPharmaceuticalsMedical CannabisMedical Device / TechnologyPsychedelicsResearch, Testing and Medical LaboratoriesTherapeuticsOther Select onePlease specify your industry subsector COMPANY BACKGROUNDHow has your firm been capitalized to date? FoundersFriends and FamilyThird party equity investors (dilutive)Grants and/or contributions (non-dilutive)Check all that apply and provide amounts Enter Amount (CAD) Provide the contribution amount you founder has capitalized Enter Amount (CAD) Provide the contribution amount your friends and family has capitalizedEnter Amount (CAD) Provide the contribution amount a third party equity investors (dilutive) has capitalizedEnter Amount (CAD) Provide the contribution amount through grants and other (non-dilutive) Has your firm presented to investors before in a formal setting? (Ex. BIO, Bloom Burton LSBC Investor Summit)YesNoIf yes, please specify event/ occasion below Does your company have a current written business plan? YesNoMARKET OPPORTUNITYBriefly describe the Market Opportunity for your technology/product/service (250 words max) *Provide examples of your company's competitors Describe your company’s technology and its differentiation/competitive advantage (250 words max) *INTELLECTUAL PROPERTYBriefly describe any existing Intellectual Property owned or controlled by the firm and how it fits in with your overall business strategy (250 words max) *EXECUTIVESPlease provide a short profile of the company’s senior executives (Founders, C level, Directors, etc.) and their roles in the company *Senior Executive 1 Executive2Senior Executive 2 Executive3Senior Executive 3 APPLICANT CONTACT INFORMATION Name *FirstLastJob TitlePhone Number *Email *Are you currently a member of Life Sciences BC?YesNoAre you interested in learning more about becoming a member of Life Sciences BC? YesNoPROGRAM PARTICIPATION GOALS & PEOPLEWhat are your goals of participating in this program? (250 words max) *How many team members would you expect to participate? *What is participant 1's role? What is participant 2's role? What is participant 3's role? What are your BC based resources (lab space, office space, etc.)? *Please only submit non-confidential information along with your current pitch deck. Click or drag files to this area to upload. You can upload up to 5 files. This program is supported in part by funding from the National Research Council of Canada Industrial Research Assistance Program (NRC IRAP)Submit