Selected title:

First name:

Last name:

Gender:

Phone number:

Email address:

What is your business name?:

Please enter your website link:

What stage are you at in the development of your business?:

Who is working on developing the business?:

Is there a shareholder?:

How many hours are spent working on developing the business per week?

Describe your business idea in 250 words or less:

Have you had any funding / investment to develop your business?:

What amount?:

From where?:

What is your monthly turnover?:

What has been the hardest thing you have had to do to get your business off the ground?:

Have you previously been part of the Entrepreneurial Spark programme?:

Have you previously been part of any other incubator / accelerator programme?:

Which one?:

How did it help you to progress your business and what was the greatest thing you learned from that experience?:

What is the most important thing that you hope to achieve from taking part in the Entrepreneurial Spark programme?:

Which of your behavioural strengths or characteristics make you the ideal person to lead your business?:

Which of your weaknesses or behavioural characteristics could affect you leading your business?:

If you have any medical condition that requires us to make any adjustments to assist you please can you give us details in order that we can consider those adjustments.:

How did you hear about us?: