Business Name *

Address Line 1 *

Address Line 2 *

Address Line 3 *

Address Line 4

Address Line 5

Postcode *

General telephone number *

Website

Business Type Private Limited Company Partnership Co-Operative Voluntary Social Enterprise Charity Franchise Licence Only Franchise Licence and Profit Public Sector Other (Please State) *

If 'Other' please state type

Company Registration Number (if applicable)

VAT Registration Number (if applicable)

Nature of business. e.g. Manufacturing, Retail, etc *

Date company commenced trading *

Number of employees (FTE, paid staff members only please) *

What is the turnover of the company Less than £44m More than £44m *

What is the balance sheet value of the company Less than £37m More than £37m *

Title *

Full Name *

Position in business Owner Director Lead Partner Other (please state) *

If other, please state position

Contact Number *

Email address *

Contact Name (if different to applicant)

Contact Number (if different to applicant)

Contact email address (if different to applicant)

Do you have a written/formal business plan? No Yes *

Do you have a specific competitive advantage? No Yes *

Do you already operate internationally? No Yes *

Do you intend to start/continue operating internationally? No Yes *

Do you expect your turnover to be greater this year than last year? No Yes *

Does your business show potential for turnover growth for the next three years? No Yes *

Do you expect to have more employees than last year No Yes *

Does your business have potential for an increase in employees in the next three years? No Yes *

Do you expect your business to be more profitable than last year? No Yes *

Does your business show potential for increased profits for the next 3 years? No Yes *

Which of these methods do you plan to use for growth? Taking on new contracts
Acquisition of an existing business
Increasing sales of an existing product
Launching a new product
Moving into new markets
Exporting
Other (please state below)
*

Other - please describe

Have you recently secured a loan or other financing to help you to achieve your planned growth? Yes No *

Are you a member of a business network e.g. Business Club, NECC, IoD, CBI, etc? Yes No *