Jump Ball Inquiry - Tech-Access Canada

Company Information

Company Name *

Currently Used: 0

Hint: The value must be less than 256 characters long.

Describe your company in roughly three sentences. This will help us share context with the TACs without specifically naming your company.

Examples:

We are a medium sized textile manufacturer located in Sarnia, ON. We specialize in fire retardant textiles and have four products currently in market. We develop our new products using our in-house engineering team.
We are a fourth-generation family-run farm in Lakeland AB. We have 7,000 head of cattle, and 300 acres of grazing pasture. Our busiest seasons are spring and late fall.

(Optional)

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Hint: Must be between 25 and 5012 characters.

Incorporated? *

Company Size(Optional)

Hint: Enter only numeric values

Number of Years in Operation(Optional)

Hint: Enter only numeric values

Company Address

Street Address Line 1(Optional)

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Hint: The value must be less than 256 characters long.

Address Line 2(Optional)

Currently Used: 0

Hint: The value must be less than 256 characters long.

City *

Hint: The value must be less than 100 characters long.

Province / Territory / State *

Hint: The value must be less than 100 characters long.

Postal / Zip Code *

Hint: The value must be less than 15 characters long.

Country *

Company Website(Optional)

Hint: Example: https://example.com

Primary Industrial Sector *

If other, please specify

Currently Used: 0

Hint: Must be between 3 and 512 characters.

Have you worked with a TAC or college applied research office before? *

Have you had discussions about this challenge with any TAC or college already? *

If yes, who? (name of person, Centre, college, etc.)

Currently Used: 0

Hint: Must be between 3 and 1024 characters.

How did you hear about JumpBall? *

NRC-IRAP ITA
NRC-IRAP CEA
Technology Access Centre
Tech-Access Canada
Word of Mouth
Google
Other

If other, please specify

Currently Used: 0

Hint: Must be between 3 and 512 characters.

Is your business owned, 50% or greater, by individuals who self-identify as one or more of the following: women, Indigenous peoples, persons with disabilities, members of visible minorities?(Optional)

Yes
No
Prefer not to say

Step 1 of 4

Point of Contact

Contact First Name *

Hint: The value must be less than 50 characters long.

Contact Last Name *

Hint: The value must be less than 50 characters long.

Position(Optional)

Currently Used: 0

Hint: The value must be less than 256 characters long.

Email Address *

Hint: The value must be less than 256 characters long.

Phone Number(Optional)

Phone Extension(Optional)

Communication

Preferred method of contact *

Email
Phone
Other

If other, please specify

Currently Used: 0

Hint: Must be between 3 and 512 characters.

Communication Language *

English
French

Step 2 of 4

Innovation Challenge

Description of the Innovation Challenge - what assistance do you need? Please be as specific as you're able to be *

Currently Used: 0

Hint: Must be between 25 and 10024 characters.

What was already done to address the problem - Please be as specific as you're able to be *

Currently Used: 0

Hint: Must be between 25 and 10024 characters.

Please upload any supporting documents or files you would like to share with the TACs

NOTE: Max 3 files, Max file size 5 MB, Only: .pdf, .docx, .png, .jpeg allowed(Optional)

Select files...

I am looking for assistance from *

Any TAC
Only TACs in Province / Territory
Only TACs in Sector

If "Only TACs in Province / Territory", please select Province / Territory

Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon

If "Only TACs in Sector", please select Sectors

Advanced Manufacturing
Aerospace
Agriculture
Apparel
Automotive and Surface Transportation
Biotechnology
Chemicals and Plastics
Clean Technology
Construction
Cyber Security and Disruptive Technologies
Data
Data Analytics
Digital Media
Digital Media and Graphic Communications
Energy
Environmental Technology
E-Waste Recycling Technology
Food Innovation
Forestry
Human Health Therapeutics
Information and Communications Technology
Marine
Medical Devices
Metrology
Mining
Natural Resources
Ocean Technology
Ocean, Coastal and River Engineering
Other
Security Technology
Social Innovation
Telecommunications
Water technology

What Technology Readiness Level do you feel you have reached? (Optional)

Step 3 of 4

Desired Start

Desired Start Date *

Start Before Date (Optional)

Start After Date(Optional)

Desired End

Desired End Date *

End Before Date(Optional)

Step 4 of 4