LEAD TO WIN APPLICATION 
Please complete and e-mail to lead@leadtowin.ca

* Required information.

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TEAM MEMBER #1
Email Address*:


Title: 
[ ] Mr  [ ] Mrs [ ] Ms

First Name*: 
 

Last Name*: 
 

Phone (Primary)*: 
 

Street Address (Home):
 

City (Home):
 

Postal Code (Home):
 

Country (Home):
 

Province (Home):

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TEAM MEMBER #2
Email Address*:

Title: 
[ ] Mr  [ ] Mrs [ ] Ms

First Name*: 
 

Last Name*: 
 

Phone (Primary)*: 
 

Street Address (Home):
 

City (Home):
 

Postal Code (Home):
 

Country (Home):
 

Province (Home):
 

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TEAM MEMBER #3
Email Address*:

Title: 
[ ] Mr  [ ] Mrs [ ] Ms

First Name*: 
 

Last Name*: 
 

Phone (Primary)*: 
 

Street Address (Home):
 

City (Home):
 

Postal Code (Home):
 

Country (Home):
 

Province (Home):
 
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TEAM MEMBER #4
Email Address*:

Title: 
[ ] Mr  [ ] Mrs [ ] Ms

First Name*: 
 

Last Name*: 
 

Phone (Primary)*: 
 

Street Address (Home):
 

City (Home):
 

Postal Code (Home):
 

Country (Home):
 

Province (Home):
 
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1. EXPERIENCE
Please describe your experience you have as it relates to the business you 
wish to start or grow. (max 400 words)








2. SKILLS
Please describe how you have the time, smarts, skills, relationships and ethics 
to run a technology business in the National Capital Region capable of employing 
at least six people over the next three years? (max 200 words)








3. PRODUCT OR SERVICE 
Please describe what the product or service your business will profitably sell? 
(max 200 words)







4. TARGET CUSTOMERS
Please describe who the target customers are and why did you select them? 
(Max 200 words)






5. PROBLEM SOLVED

Please describe what customer pain or problem your product or service will address? 
Provide concrete examples of customer pain or problem? (max 200 words)










6. USER BENEFITS
 
Please describe benefits the users of your product or service will obtain? (Max 200 words)








7. ORGANIZATION BENEFITS
Please describe what benefits the organizations that employ these users will obtain? 
(max 200 words)







8. KEY DIFFERENTIATORS
 
Please describe the points of difference of your product or service for which target 
customers are willing to pay? (max 200 words)









9. CORE TEAM 
Please describe the core team currently working on your opportunity or the core team you 
wish to recruit to work on your opportunity? (max 200 words)








10. POST LEAD TO WIN
 
Please describe how you intend to contribute to LTW after you complete the program? 
(Max 200 words)








How did you hear about us? *