Please complete the form below and submit if you wish to apply for Grants funding. We will then be in touch to discuss your application.

Pro-forma - Funding Search Information Request

Business name:

Main contact details (name, role in the business, e-mail, telephone):

Address of Head Office (inc postcode):

Addresses of any other offices:

Website address:

Organisational status: Limited Company Charity Sole Trader Other

Has your business been formed in the last two years? Yes No

What date was your business formed?

Business activities (please provide as much detail as possible on all income streams):

Turnover (anticipated for start ups)

Number of employees: 0-5 6-10 11-250 250

Level of funding required: 0 - 25,000 25,001 - 50,000 50,001 - 100,000 100,001 - 250,000 250,000+

Amount of capital expenditure planned

What funding will be used for (please give as much detail as possible - purchasing new premises, R&D expenditure, marketing etc):

Will your project be creating / safeguarding jobs? If so, please give details.:

What funding, if any, has been received or applied for including other grants, loans or investment.:

Types of funding considered eg. grants, loans, venture capital:

Type the characters:

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