Complete the intake form below to apply for iSTEM Technology Counseling Program

First name

Last name

Phone

Company name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Position

Describe your project

Do you currently have a budget? (If yes, explain)

Do you have a deadline? (If yes, explain)

Describe your projects format

Describe your projects threshold

Point of contact

Position

Describe the technology your are proposing

Explain your technical specifications

Describe what impact your technology will have on the world or your local community

How many people do you expect to benefit from this technology?

What are the socio-economic benefits of this technology

Do you have a post-grant maintenance plan? (If yes, explain)

Do you have a long-term financial strategy? (If yes, explain)

How will your company address digital equity?

Do you have a digital literacy support plan? (If yes, explain)

What environmental impact will this technology have on the world? (Include any sustainable practices)

How will you handle risk assessments and mitigation?

Describe the unique aspects of your project

What improvements would your project have over existing solutions?

Is your idea scalable? (If yes, please explain)

What is your company's potential for expansion?

What do you need to take your project to scale?

How will you handle privacy and security measures?

Choose the level of support you have received

Local

Government backing

Community engagement

Other

Describe your Management Team Expertise and Capacity

How would you describe your company's telecommunications goals?

List any alternative funding sources

What makes your project unique

How will your project compete in the market?

Describe your company or products competitive edge

How will your company handle market fluctuations?

Do you have a contingency plan? (If so, explain)

Company Type

For Profit

None Profit

Link to CV/LinkedIn