Agrivalue™ - Pre-Commercial & Entrepreneurial - Apply Now

Please have JavaScript enabled and use the following browsers for your best experience in using this form.

  • Internet Explorer: 6 or 7
  • Safari 3.0.3
  • Firefox: 2.0.0.9
  • Opera 9.24
  • Netscape: 9.0b2

Please fill out the form below to submit your proposal. Note that all the fields are required.

If you are not able to complete the entire form at this time, you may save the information and finish it at a later date.

If you are returning and have saved your information, please click here to load your data. Alternatively, scroll to the bottom of the page and click on the load button.

Contact Information
Name of Organization Address 1
Your Name Address 2
Title City
Phone Province
Email Postal Code
Cell Website
Fax
Were you referred to AVAC? If yes, state name, title, company and phone #
Organization Information
Date Incorporated Number of Employees Full time:   Part Time:
Locations of Operations
Industry Sector
Brief Company Description
Projected 2011 Gross Profit Projected 2011 Sales
Projected 2010 Gross Profit Projected 2010 Sales
Projected 2009 Gross Profit Projected 2009 Sales
Projected 2008 Gross Profit Projected 2008 Sales
Projected 2007 Gross Profit Projected 2007 Sales
2006 Gross Profit 2006 Sales
2005 Gross Profit 2005 Sales
2004 Gross Profit 2004 Sales
2003 Gross Profit 2003 Sales
2002 Gross Profit 2002 Sales
Note: All Projected and Actual Gross Profit and Sales fields are required. Enter 0 for years prior to incorporation.
Proposed Use of Proceeds
Title of Proposal
Amount of investment being sought
Amounts and sources of capital raised to-date
Post money valuation of last round
Current monthly burn rate
Technology description
IP description
Target market and market size
Competitive advantages
Barriers and competitors
Objectives, associated activities, costs and sources of capital
Expected outcomes and timing of each objective
Documents Required
Current Executive Summary (MS Word or PDF format)
Current Strategic Business Plan (MS Word or PDF format)
Current Financial Statements (MS Word or PDF format)
Current Investor Presentation (MS PowerPoint or PDF format)

AVAC will not disclose the information that you provide in or with the Investment Proposal form that would be deemed to be Confidential Information in a typical Confidentiality Agreement, except to those employees or associates who need to know the information for the purpose of evaluating the application. AVAC will use its best efforts to ensure that these individuals will retain the information in confidence. A formal Confidentiality Agreement will be prepared in the event that AVAC decides to proceed with a more detailed assessment of the Investment Proposal. The applicant agrees with the above confidentiality provisions in submitting this Investment Proposal.

AVAC is committed to the privacy principles set out in the Alberta Personal Information Privacy Act (PIPA), and adheres to the PIPA roles relating to collecting, using and disclosing Personal Information. A copy of AVAC's Privacy Policy may be obtained here.