City Growth Accelerator Grant Application Form

1. Business Details

Business Name: *

Business Address: *

Postcode: *

Telephone: *

Website:

Email: *

Other trading name(s):

Registered brands/trademarks:

Legal status of the business: *

Is the business:

Independent
Subsidiary

If a subsidiary, what is the name of the parent organisation?

Company Registration No.

(if applicable)

Business VAT No.

(if applicable)

Number of employees:

Full Time: and/or Part Time:

Who are the principle Shareholders/ Partners/ Owners?

Contact Name: *

(name of person completing the
application form)

Job Title:

2. Trading Activity

Nature of business:

Date the business started trading:

Annual turnover last 3 years:

2007:
2006:
2005:

Profit before tax last three years:

2007:
2006:
2005:

3. Finance Required

What do you need the grant for? - Please specify purposes and amounts: *

Have you obtained public finance (grants) in the past 2 years?

Yes
No

If yes, how much and what was it used for?

4. Your Business Plan

Do you have a business plan?

Yes
No

5. Time

Are you and your management team willing to invest time (up to a day) with an external advisor to help improve your business?

Yes
No

6. How you heard of the City Growth Accelerator project

Please let us know how you found out about this project:

Direct mail
By an intermediary (accountant, lawyer, bank manager, etc - please indicate who in details below)
At an event (please give the event name/details below)
Other (please give details below)

Details:

7. Contacting you

Within 14 days of submitting this application you will be contacted by a Business Link Advisor to arrange a meeting to discuss your application.

How would you prefer to be contacted?

Telephone
Email