Application Form


* denotes a required field

*First Name:

*Last Name:


Address:


*Phone:

*Email:


Business Name:
Not a required field, name can be amended throughout the process Not a required field, name can be amended throughout the process


Type of Business:


Preferred Location:

*Business Concept:
Your vision for the look and feel of the business, who your customers will be and basic hours of operation Your vision for the look and feel of the business, who your customers will be and basic hours of operation

*Why will your business be successful?
Reasons your business concept will be successful Reasons your business concept will be successful

Resume:
Your resume must be uploaded as a pdf file Your resume must be uploaded as a pdf file

Video Link:
1-3 minute video, enter a link to Youtube or Dropbox 1-3 minute video, enter a link to Youtube or Dropbox

* I have read the rules and regulations for the Win this Space program.


Privacy of Information

The information supplied is for use by the Township of Huron-Kinloss and will not be sold or distributed without consent. The personal information collected will be used by the Township of Huron-Kinloss only for the "Win This Space" contest. The collection and disclosure of the information is governed by Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), 1990. For more information or questions about the collection of information, contact 519-395-3735.



Contacts

Taralyn Cronin

Business & Economic Officer
519-395-3735 x155
tcronin@huronkinloss.com