Pilot: Tech-agnostic EOD application form

Company outline

This questionnaire will help the Experts on Demand subcommittee assess your suitability for the (pilot) Tech-agnostic Experts on Demand program. The information you provide in this assessment with be shared with members of the Experts on Demand subcommittee. Please select the best answer when more than one answer applies to your business case.

1. Contact Information *This question is required.

Company Name

Company Address

City

Applicant First Name

Applicant Last Name

Email Address

Phone Number

2. Company website

3. LinkedIn

4. Is your company incorporated? *This question is required.

5. Is your company a registered non-profit or charitable organization? *This question is required.

6. Please describe your business. *This question is required.

7. What is innovative about your business or business model? *This question is required.

8. Describe the problem/ issue you hope a successful Experts on Demand application will address. *This question is required.

9. Describe the expected outcomes your expert or business coach will achieve *This question is required.

10. Is there someone you recommend as an expert or business coach for this program? If so, please provide their name below.