Apply for support

Your full name *

Section1: Potential Entrepreneurs Only

Are you an individual looking for support to start a business ? Are you an individual looking for support to start a business ? Yes No

Have you already registered your business name with either Companies House or HMRC ? Have you already registered your business name with either Companies House or HMRC ? Yes (If you have ticked yes please complete section 2) No

Section 2:Registered Businesses Only

Your business name *

How long has your business been trading?

Business Sector* (Main Product or Service)

Would you consider your business size to be: Would you consider your business size to be: Micro Firm (Less than 10 employees) Small Enterprises (10-49 employees) Medium- Sized Enterprises (50-249 employees)

Business Website address

Section 3: Contact Details All Enquiries

Contact email *

Telephone number

Contact address - inclusive of postcode *

Business or trading address (if different to contact address)

Preferred method of contact: Preferred method of contact: Email Text Phone Post

Where did you hear about us? *

What type of support are you looking for?

For Businesses Only: What are the three main challenges to your business growth?