Required fields are marked with asterisks (*)

CityTech Lab Application

This form is the first step in accessing The City of North Bay's CityTech Labs to test and validate ideas and products in a real-life environment. Completing this form helps us understand what your high level requirements are, what you are looking to achieve, and how your work supports the diversification and strengthening of the North Bay economy. We will review whether we have a suitable available asset, what terms and conditions are applicable, and follow up with you via email.

Section A: Contact Information

1. Company/Organization Name:

2. Primary Contact Name:

3. Primary Contact Job Title:

4. Primary Contact Phone Number:

5. Primary Contact Email:

Section B: Project Information

6. Project Title:

7. Project Description:

8. Start Date:

9. End Date:

10. What City assets are you looking to utilize and how? Please be descriptive.

11. What are you hoping to achieve with your testing?

12. What are the risks identified with this testing?

Section C: City of North Bay Economic Development Alignment

There are five main goals that strive to achieve the vision:

1. Population growth;

2. A diversified and resilient local economy;

3. Levergaing North Bay's education resources;

4. A shared economic development vision; and

5. Effective economic development program delivery.

The information below will help us undertsand growth areas in North Bay and identify potential opportunities to your organization.

13. Please provide a description of your company's main product(s) and service(s), and how this aligns with the City's vision.

If you selected Other above, please explain:

15. Does your organization have any operations in North Bay?

Yes

Signature of Primary Contact:

Clear