1Youth

Internship Program -
Private Sector Component Request Form
Request for Funding & Supporting Documentation Package

INSTRUCTIONS TO THE APPLICANT

Detailed below are the contents of the Supporting Documentation Package which must be
submitted with your request for funding for FedNor's Youth Internship Program-Private Sector
Component. This normally provides sufficient information to permit an assessment and decision
on your application. The Officer assigned to your project may request additional information or
clarification of the data provided. All information provided will be kept strictly confidential.

Please complete and sign the accompanying FedNor request for funding form and return it with
the Supporting Documentation Package.

The following checklist has been provided for your convenience. Please ensure that it is
completed and also returned with your application:

Enclosed Yes
11. Request for funding
2. Statement of Work to be undertaken
3. History of Association/Organization
4. Persons Responsible for Supervising/Mentoring the intern
5. Description of Hiring Process & Plans for Supervising/Mentoring the Intern
6. Description of Exit Plan to assist intern in securing employment at end of
internship
7. Other Supporting Documentation
8. Payment of FedNor Contributions

When completed, the package should be returned to the FedNor office closest to you.
FedNor FedNor FedNor FedNor FedNor
6th Floor, Suite 600 19 Lisgar Street 244 Lincoln Street, 38 Pine St. North 107 Shirreff Avenue
70 Foster Drive Room 307 Mezzanine Suite 112 Suite 202
Sault Ste. Marie, Sudbury, ON Thunder Bay, ON 101 Mall North Bay,ON
ON P3E 3L4 P7B 5L2 Timmins, ON P1B 7K8
P6A 6V4 Tel. (705) 671-0711 Tel. (807) 766-1800 P4N 6K6 Tel. (705) 494-4240
Tel. (705)941-2014 Fax: (705)671-0717 Fax : (807) 346- Tel. (705) 267-4933 Fax: (705)494-4227
Fax: (705)941-2085 8474 Fax: (705)267-4939
1. REQUEST FOR FUNDING

LEGAL NAME OF APPLICANT ConceptShare Inc.

OPERATING NAME ConceptShare
73 Elm St. Suite 33
Sudbury, ON
ADDRESS P3C1R6

Mr. Bernie Aho

CONTACT PERSON
Product Manager
TELEPHONE NUMBER 705-222-8052
FACSIMILE NUMBER
E-MAIL ADDRESS Bernie.aho@conceptshare.com
TYPE OF BUSINESS Technology/Software

Correspondence: x English
French
1LANGUAGE
Service: x English
French
Number of Employees: 3 Currently
Incorporation No.:
Major Product or Service: ConceptShare – Online Design Collaboration System
Total Sales per Year: $
Business No. (CCRA):
GST No.:
If applicable, has union concurrence for proposed activities been obtained
N/A Yes x No
If yes, please attach written evidence of union concurrence.
If no, please explain:
 Project Description: Short description of the Project which the Intern would undertake.
Please select applicable category that best describes your project activities. (Please refer to
Program Eligibility Criteria for category description.)
x Innovation Connectedness

ConceptShare is always expanding into new areas and technology partnerships at a rate that is
beyond our current capacity. Our current project is the management and reporting of our
innovation and business activity for a partnership with Corel Inc. Additionally we are involved
in Research and Development and recording of this activity for the next tax year is also part of
this project.

PROJECT COSTS Amount SOURCES OF FUNDS Amount

Salary: $55,000 $
Benefits: $0 $
Other Costs: $0 $
$ $
$ $
$ $
TOTAL COSTS $ TOTAL FINANCING $

The salary for intern and employee benefits are eligible costs while there is an "Employer-
Employee Relationship." Such relationship exists when there is a verbal or written agreement in
which an employee agrees to work on a full-time basis for an employer for a specified period of
time, in return for salary or wages.

Any application not signed by proper authority of the company cannot be processed. The
undersigned certifies that all information provided to FedNor in support of this request for
funding is true and complete, and undertakes to provide any further information that may be
required for FedNor to render a decision, in a timely manner. The undersigned also herewith
provides consent for FedNor to make sufficient credit and other enquiries that may be necessary
in the evaluation of this request for funding.

Authorized by:
Title:
Date:
2. STATEMENT OF WORK TO BE UNDERTAKEN (in point form)

The Statement of Work for the Youth Internship Program should clearly set out the following:

A. The objectives and tasks to be performed by the intern (the job description); and

B. What the specific task(s) will be, how the student will perform these tasks, the timing, and the
expected outcomes and measurements (the work plan)

The following is intended as suggestions for preparing these documents.

A. The Job Description:

1. Provide a statement of purpose or objectives for the proposed work term, detailing what the
interns role in the organization will be.

The role of Business Project Manager will involve the creation and management of reports and
documentation revolving around business activities in the areas of research and development
projects, and undertaken by ConceptShare. This role will also involve marketing and
distribution reporting to ensure proper adhesion to our guidelines.

B. The Work Plan: (in point form)

2. Please provide:
a.) Outline of specific tasks
b.) Anticipated results/deliverables/outcome
c.) Method of measuring results
d.) Time frames to accomplish tasks within 12-month employment period.

Project Task Time Frame Anticipated Results Mentor

3. HISTORY OF COMPANY/CORPORATION

a. Please identify the key contact person/s of the company/corporation.

Full Name Position Telephone

b. Please provide an overview description of the company and its activities, any achievements,
awards, or accreditation including information on experience in technology and innovative
capabilities. If a company has experience using certain tools, software or management
techniques, then they may want to include that information here. Companies may also want to
include information on current marketing activities and strategies.

4. PERSONS RESPONSIBLE FOR SUPERVISING/MENTORING THE INTERN

Submit a separate resumé for each person, if it will complement the information below.
Name:
Position w/ Organization:
 Address:

Responsibilities, experience, education and background directly related to this

company/corporation:

5. DESCRIPTION OF THE HIRING PROCESS AND PLANS FOR

SUPERVISING/MENTORING THE INTERN

a. Hiring process: Describe educational qualifications or areas of study, and details of other
specific areas of expertise or qualifications. Identify type of hiring ads, and sources to be used
(eg. Media or schools).
b. Plans for Supervision: Identify proposed mentors. Identify the form and frequency of
supervision by each mentor.

c. Anticipated impact and benefits for the Intern; particularly, long-term employment potential,
either with your organization or otherwise.

6. DESCRIPTION OF EXIT PLAN TO ASSIST THE INTERN IN SECURING

EMPLOYMENT AT THE END OF THE INTERNSHIP.

(ie: Intern will be hired by applicant or will be provided time to work on resumé, set up
interviews, etc.)

Please provide copies of your financial statements for the last fiscal year and the most recent
interim financial statement. Interim financial statements must be provided when the latest year-
end statements are six months or older.

7. OTHER SUPPORTING DOCUMENTATION

Attach the following required supporting documents to complete your application package.
1Enclosed Yes
1. Copies of your financial statements for the last fiscal year
2. Cash Flow Projections (by month, for intern's employment period)

8. PAYMENT OF FEDNOR CONTRIBUTIONS

FedNor will pay 50% of the approved costs of the project up to a maximum FedNor contribution
of $27,500 per intern.

Detailed instructions and claim forms will be provided to applicants after their projects are
approved by FedNor. However, applicants may find the following general information useful in
their financial planning.

In order to receive payment, applicants must file a claim. The claim must include a listing of all
the costs incurred for the project.

Applicants may claim 90% of the approved FedNor contribution during the implementation
phase of the project. The final 10% of the approved FedNor contribution will be released
following completion of the project, upon submission of the required final report. Applicants are
required to maintain proper books and records of the costs of the project, including payroll
records and cancelled cheques, and to provide FedNor auditors with access to these records when
requested.

Confidentiality: No commercially confidential information which you submit to us will be

disclosed unless otherwise specified by you; required to be released by law; or required by the
Minister of Industry to be released to an international or internal trade panel for the purposes of
the conduct of a dispute in which Canada is a party or a third party intervener. Information on the
federal government's Access to Information Act is available on the following Web site:
http://www.canada.justice.gc.ca/en/ps/atip/index.html
Any information that you wish to be considered as confidential should be annotated accordingly.