Application for financial assistance

Incubators and Accelerators Driven by Excellence (IADE)

Warning

  • We recommend that you consult the Applicant's Guide before completing the form.
  • You have a 12-hour session to complete the form.
  • Do no use dots or commas in numeric fields, round up as needed (ex: 5000).
  • Please note that CED may, at any time, at its sole discretion, cancel, modify, extend or suspend this call for proposals. In such a case, CED cannot be held liable.

It is required to answer all the questions.

  • For information on eligibility criteria and how to complete this form, please consult the Applicant's Guide or contact us toll-free at 1-800-561-0633.
  • Please complete the form, print it and send the original signed by the authorized person*, at the following address: Canada Economic Development for Quebec Regions , Inter-regional Initiatives Directorate, 800 René-Lévesque West Blvd., Suite 500, Montréal, Quebec H3B 1X9.
  • The information you provide will be handled in accordance with the Access to Information Act and the Privacy Act.

*Authorized person is one who, legally, can commit the client by approving official documents such as contribution agreements, as well as any amendments, declarations or claims under these documents. It may be a director registered in the Registre des entreprises du Québec (REQ), such as the president, a vice- president, the secretary or any person who has received this authorization via a mandate letter, a resolution of the board of directors or an internal delegation of authority.

STEP 1 : The following program eligibility questions must be answered before you may apply for funding under this program initiative.

See the Applicant’s Guide for definitions.
Are you an incubator or an accelerator?
Are you a non-profit organization?
Do your current activities take place in Quebec?
Is your head office located in Quebec?
The financial statements for the last two (2) years of your company (if available), the project plan and the engagement letters (if applicable) will be sent in electronic format within 48 hours of submitting your financial assistance request form to the following address: <a href="mailto:dec.iade.ced@canada.ca">dec.iade.ced@canada.ca</a>?

  • The type of acceptable financial statements are: audited, review engagement, notice to the reader or certified by the Chief Financial Officer or Chief Executive Officer of the company, if the company does not have a Chief Financial Officer.
If you answered « no » to any of these questions, you do not qualify for funding under this program initiative and the application form must not be completed or sent. If you answered « yes » to all of the above- noted questions in step 1, you may proceed to step 2.

STEP 2 : Information to include


If you run out of space on the form, you can submit more information in your email within the 48 Hours deadline at the the following address: dec.iade.ced@canada.ca.
If you do not have a BN, enter : 999999999

Type of organization : Is the applicant a subsidiary?
Same address as the organization
Same address as the organization
Same as authorized person
The information for this question on the form is provided on a voluntary basis, but could be considered a priority factor in the analysis of your file.

Does the project specifically target the following under-represented and designated groups ?






Number of Employees in Canada at the signing of this form:

Has your organization received government funding in the last two (2) years from either federal, provincial or municipal sources?
The project will be done in collaboration with others incubators and/or accelerators
Will the project result in new business or research collaborations?
Give a brief description of the main objectives of the project
Provide an estimate of total project costs in Canadian dollars using the table below:
Must be equal to or greater than 10% of the total project cost
The total amount of public aid may not exceed 90 %
The project must begin no later than three months after signing the contribution agreement

To the Economic Development Agency of Canada for the Regions of Quebec (hereinafter "the Agency"),

I, the undersigned, _________________________ a person duly authorized by _________________________, (legal name) (hereinafter the "client") undertake and certify the following:

I undertake to disclose any other other government assistance or financial assistance requested or received for the project, as well as any other government assistance or financial assistance requested or received for a similar project by a company with which the client has a non-arm's-length relationship within the meaning of section 251 of the Income Tax Act (R.S.C. (1985), c 1 (5th Sup)..


An incurred cost relates to a commitment made to a supplier of goods or services. The costs thus incurred are incurred as from the date of the agreement of will between the Customer and the supplier (e.g. contract to hire a new resource, purchase order for new equipment, service contract with a supplier). If "yes", specify the value and type of costs already incurred.

Have you ever incurred costs with a supplier of goods or services for this project
(If yes, these costs are ineligible for the financing of your project).

The Agency must ensure that lobbyists and their clients understand and comply with the federal government Lobbying Act, R.S.C. (1985), c 44 (4th Sup) .

.
I attest that the client

Please indicate whether you have any pending legal proceedings

I attest that the client
Please inform us if you have received a formal or informal notice informing you that you may have contravened an Act of regulation or that you are in breach of an Act or regulation with regard to your project.

I hereby authorize the Agency to proceed with any consultation or verification, in particular with suppliers, financial institutions, accounting firms, funding agencies, credit agencies and any government agencies, that it deems necessary to assess the application for financial assistance or the administration ans follow-up of any resulting contribution agreement, and I agree to the parties contacted disclosing the information requested.

I also authorize the Agency to disclose the information in its possession with regard to the client and the project to other government departments and agencies.

I understand to provide the Agency, at no charge, without delay and in the form requested, with any information required to complete the evaluation of the application for financial assistance. Lastly, I attest that the information provided in the application and all the documentation provided is complete, truthful and accurate.


Name of authorized person:_________________________


Signature : ____________________________________

Date : ____________________________________

Important note

Please print this document before submitting your application and mail the original, duly signed by the authorized person, to the following address:

Canada Economic Development for Quebec Regions
Business Development and Infrastructure
800 René-Lévesque West BLVD., Suite 500
Montréal, Quebec H3B 2T9


All the information on your organisation or project created, retained or collected by Canada Economic Development for Quebec Regions is subject to the Access to Information Act and the Privacy Act.

Modified date :