Application Form Entrepreneur Equity Fund (“EEF”)

Application Form Entrepreneur Equity Fund (“EEF”)

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Part 1 - Applicant Information

Applicant Name
Mailing Address
Residential Address

PART 2 – Business Information

Mailing Address
Is your organization incorporated and in good standing?
Does your business/do you do any of the following (if yes please state how)?

PART 3 – Eligibility – do you/your business qualify for EEF program funding?

Applicant Eligibility - Check all that apply
How much funding are you applying for in total in this Application?
What is the nature of the equity you are providing?
If you are applying for EEM, what are you proposing to spend your EEM contribution on?
**You must spend your EEM contribution on an eligible expenditure. The following are NOT eligible expenditures for the Policy: • Salary, pension and benefits. No • Passive investments. No • Capitalization costs including the establishment or expansion of financial instruments (shares or a portion of an asset which will be capitalized over time). No • Bad debt expenses and expenses associated with collections. No • Costs for services provided by a federal or provincial/territorial or First Nations government. No
If you are applying for funding for a Business Study, please provide details about your plans.
Are you in good standing with CAFN?
(do you owe any money to CAFN and if so, are you in a repayment plan with CAFN and have you made payments to CAFN according to your payment plan for a period of at least 6 months?)

Part 4 - Risk

List any identified risks associated with specific business activities; these may include risks to the work plan, budget, staffing, shipping, and identify the mitigation strategies you will use to minimize the impact of these risks in order to ensure the successful completion of your project.

PART 5 – Supporting Material Checklist

I have attached all of the following MANDATORY documents with my application (check as completed):
Max. file size: 128 MB.
Max. file size: 128 MB.
Max. file size: 128 MB.

PART 6 - Other Considerations

PART 7 - Authorization

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