Client Intake Form

Olds College Centre for Innovation

CLIENT INTAKE FORM

Olds College Centre for Innovation (OCCI) constitutes a compliment of applied research scientists, technicians and support staff, with a broad range of expertise in crop production, livestock production, smart agriculture technology evaluation and development, sustainable environmental stewardship (water, soil, air), and business development facilitation. OCCI executes approximately 40 projects per year for dozens of for-profit and not-for-profit clients, from startups, to small and medium-sized enterprises, to large national and international corporations. We are open to exploring the prospects of collaborating with you to evaluate and further develop your technology and your business.

Please note that the client intake form is primarily geared towards small and medium-sized enterprises (SMEs) with a product/project/process in mind. For general research collaborations, contact occi@oldscollege.ca

In order to help us better assess your technology and business potential, and identify where OCCI may be able to provide effective assistance, please complete each of the following sections:

Contact Information

Name*

First Name

Last Name

Title

Organization

Business Address (Canadian)

Address Line 1

City

Province

Postal Code

Phone

Email*

Website URL (if applicable)

If you have already been in contact with someone from OCCI/OC, please state their name

Business Information

Sector*

Year Registered*

No. of Employees*

Technology Readiness Level (TRL 1 to 9)

Technology Readiness Levels (reproduced with permission from Innovation Canada - https://www.ic.gc.ca/eic/site/080.nsf/eng/00002.html)

Business Readiness Level (BRL 1 to 9)*

Business Readiness Levels (adapted with permission from “The Business Readiness Levels” - https://businessreadinesslevels.com/

If you are at BRL6, describe the simple solution (prototype) developed to address the identified business opportunity.

Have you worked with Olds College applied research team in the past?*

Yes No

If yes, in what capacity?

Issue Definition

Briefly describe your product, process, technology, system or service (limit your description to 500 characters or less, including spaces)*

What applied research issue, need, problem or question would you like to address with OCCI?*

If so, can you provide some background information, including your progress to date or the extent of the engagement?

What is your desired timeline to initiate an applied research project with OCCI?*

Please be advised that your financial commitment will be required towards any applied research efforts, should OCCI engage with you via a partnership agreement.

The specifics will be discussed with you prior to signing an agreement.

What is your desired timeline to conclude an applied research project with OCCI?*

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?

Yes No

In addition to applied research support, would you like to connect with the OCCI Manager of Entrepreneurship & Innovation to learn about entrepreneur development opportunities?

Yes No

Freedom of Information and Protection of Privacy Act

The personal information requested on this form is collected and protected under the authority of the Post-secondary Learning Act and the Freedom of Information and Protection of Privacy (FOIP) Act. Your personal information is used to process your request for information and for internal statistical and management purposes. It is also used to create records that facilitate ongoing contact between Olds College Centre for Innovation (OCCI) and you regarding your personal information and for uses consistent with these purposes.