BHH Invest 4 SMall Grant Application Form



57150-20955The Invest4 Grant Programme Small Grants for Pre-Trading Start Ups (?2,000- ?5,000) Application Form 0The Invest4 Grant Programme Small Grants for Pre-Trading Start Ups (?2,000- ?5,000) Application Form D Hub Investment Fund Welcome to The Business Hot House, a comprehensive business support programme delivered to you by the University of Chichester, Sussex Innovation Centre, WSX Enterprise, YTKO Ltd, Princes Trust, Brighton & Hove City Council and EDEAL. Aims of the Programme:The aim of this EU funded business support programme is to allow SME’s and Entrepreneurs like you, to access the knowledge, insight, advice, guidance and general business expertise you need to help your business grow or bring your ideas to life. This is support is delivered to you through a range of methods, including workshops, one to one support, peer to peer workgroups and events. The programme can offer you the chance to access the Invest4 grants programme and also up to 12 hours of support via 121’s, workshops and events. This does not mean you cannot access any further support from the project; however, we may need to limit our resources to provide and prioritise support to other business who have not received any help from our team. We hope the expertise and support we provide is beneficial to your business and helps you to progress and grow. We look forward to working with you.Gareth Sear and the Business Hot House TeamPlease read through the following Privacy Notice and Disclaimer prior to completing this application form. Privacy Notice: Our lawful basis for processing the information we collect from you on this form is contractual and it is necessary in order for us to be able to administer and deliver the services we provide to you. These details will be stored securely and retained at least until 31 December 2033, in accordance with Data Protection Legislation, after which they will be securely destroyed. The University of Chichester (UoC) will be collecting this data and is the joint data controller with the Ministry of Housing, Communities and Local Government (MHCLG). The University of Chichester is the Lead Partner for the Business Hot House and MHCLG is the Managing Authority. No information will be transferred to a country outside the UK.The Delivery Partners; (Sussex Innovation Centre (SINC), WSX Enterprise, YTKO Ltd, Prices Trust, EDEAL Ltd, Brighton and Hove City Council (BHCC)) are acting as the data processors for UoC. The information you provide on this form will also be used to evaluate this project and to report to MHCLG for monitoring purposes. You may be contacted by UoC, MHCLG or other organisations from time to time that have been procured to evaluate the Business Hot House project. You have the right to access of your personal data, and to request erasure and/or rectification. If you wish to do this, please email hothouse@chi.ac.uk To find out more about your rights as a data subject and how the University complies with data protection legislation please visit: If you have any privacy concerns regarding how your personal data is managed please contact the UoC Data Protection Officer at DPOfficer@chi.ac.uk.If you wish to complain about any aspect of UoC’s information rights practice you may do so by contacting the Information Commissioner’s Office via .uk/concerns Disclaimer: All information, advice and guidance provided to the SME participant is provided as-is and on the basis of information received. Other than as set out below, neither the University of Chichester nor any of the programme partners shall under any circumstances whatsoever be liable to the SME participant, whether in contract, tort (including negligence), breach of statutory duty, or otherwise, for any loss of profit, or any indirect or consequential loss arising under or in connection with the programme, or any action taken by the SME participant in reliance on advice or information received. For the avoidance of doubt, neither the University of Chichester nor any of the programme partners limit or exclude their liability for:(a) death or personal injury caused by negligence, or the negligence of employees, agents or subcontractors; or(b) fraud or fraudulent misrepresentation; or(c) any other action or inaction liability for which is made mandatory by applicable law.The Business Hot House Individual Participant Details This form must be fully completed and signed to assess your eligibility for support. The form must be completed before any activities are completed as part of the project. Part one - Your details:First name:Last name:Job Title:Phone number:Email address:Your address:Please confirm that currently you are not yet trading as a business:?I confirm that I am an individual and not yet registered as self-employed with HMRCEqual Opportunities Monitoring: Gender: FORMCHECKBOX _ Male FORMCHECKBOX _ Female FORMCHECKBOX _ Prefer not to say FORMCHECKBOX _ Prefer to self-describe Age: FORMCHECKBOX _ 16-24 FORMCHECKBOX _ 25-29 FORMCHECKBOX _ 30-34 FORMCHECKBOX _ 35-39 FORMCHECKBOX _ 40-44 FORMCHECKBOX _ 45-49 FORMCHECKBOX _ 50-54 FORMCHECKBOX _ 55-59 FORMCHECKBOX _ 60-64 . FORMCHECKBOX _ 65+ FORMCHECKBOX _ prefer not to sayTick one category that you feel best describes your ethnic origin:Asian/Asian British: FORMCHECKBOX _ Indian FORMCHECKBOX _ Pakistani FORMCHECKBOX _ Bangladeshi FORMCHECKBOX _ Chinese FORMCHECKBOX _ Other backgroundDual heritage: FORMCHECKBOX _ White and Black Caribbean FORMCHECKBOX _ White and Black African FORMCHECKBOX _ White Asian FORMCHECKBOX _ Other backgroundWhite: FORMCHECKBOX _ British FORMCHECKBOX _ English FORMCHECKBOX _ Northern Irish FORMCHECKBOX _ Scottish FORMCHECKBOX _ Welsh FORMCHECKBOX _ Irish FORMCHECKBOX _ Other white backgroundBlack/Black British: FORMCHECKBOX _ Caribbean FORMCHECKBOX _ African FORMCHECKBOX _ Other background Other ethnic group: FORMCHECKBOX _ Arab FORMCHECKBOX _ Other backgroundIf you would prefer not to give your ethnicity, please tick here: FORMCHECKBOX _Do you consider yourself to have a disability? FORMCHECKBOX _ Yes FORMCHECKBOX _ No FORMCHECKBOX _ Prefer not to sayWhat is your employment status? FORMCHECKBOX _ employed FORMCHECKBOX _ employed in own business FORMCHECKBOX _ self-employed FORMCHECKBOX _ unemployedPart two- Application FormSmall Grants for Pre-Trading Start Ups (?2,000- ?5,000) Application Please note that to fully assess your application, this form must be fully completed and signed and all supporting documents must be provided at the time of application. Please do not send incomplete applications or applications without required evidence as these will not pass the eligibility review. Section 1Planned Business Details: Planned Business name (if you have one)Click here to enter pany registration number or UTR number (if already registered but not trading): Click here to enter text.Registration date (if applicable): Click here to enter text.Together with this form I provide the following documents: FORMCHECKBOX _ If applicable as a sole trader/ self-employed – letter from HMRC showing registration date FORMCHECKBOX _Certificate of registration of new companyAre you VAT registered (please tick yes or no) FORMCHECKBOX _Yes (please send copy of VAT registration) FORMCHECKBOX _No What is the nature of your business? (max 200 words)As a Start Up please advise us of the legal structure you will use:Please advise us of your planned start date. (Start date is the date you start to promote your business or carry out your first trade, whichever is soonest)Section 2Project detailsWhat do you want to do? (max 200 words) Explain how this project will develop your business. (200 words)How are you going to do it (project plan with milestones)? Outline key tasks, estimating time required for each task.Explain the expertise and resources in your company to carry out this project. (200 words)What is the value of the project you are undertaking?What is the value of the grant applied for (maximum 40% of project costs)?What is the value of the match funding? (minimum 60% of project costs)What is the source of the match funding? (Please detail and submit evidence of match funding with the application)Section 3 Project costsPlease provide a breakdown of the project costs in the table below: (Include cost of employment for new jobs (if applicable), costs of equipment and services). Do not include recoverable VAT. VAT is not funded through the grant programme if it is recoverable. Component of ProjectEstimated CostCost ExplanationIs this an asset?Section 4Added ValueWould this grant fund investment enable you to:Deliver a project that could not otherwise happen; or enable the project to happen sooner; or enable the project to be larger; or enable the project to be of greater qualityYes ?No ?If the answer to the above is ‘yes’ please explain how ERDF funding would enable this. Please also explain why this funding is necessary and why the company is not able to source this through other funding streams and what you have done to look for other sources of funding.Section 5:OutcomesThe aims of the Business Hot House and Invest4 Grant Programme are to help businesses achieve growth, create jobs, improve productivity, create innovation and develop new products for use both internally and externally and increase entrepreneurship through new business start-ups. We would not expect all these outcomes to be met. Please detail your expected outcomes as a result of the project. New full time jobs created (full time job is over 30 hours a week):New part time jobs created (please detail hours):Increased turnover (please detail current turnover and projected turnover for next 12 months and 24 months))Increase net profit (please detail current np and projected np for next 12 months and 24 months)Innovation development Creation of new to firm products Creation of new to market products Other expected outcomes – please specify (e.g. business start up)Part three – Declaration:Mandatory: (to be able to receive ERDF funded support, please tick ‘accept’ below the declaration)By ticking and signing this declaration I declare that the information provided in the form is, to the best of my knowledge, accurate.I understand that the resources and support on offer are limited and that I will be informed as to when I have reached 12 hours. After this period, I can still gain access to support, but priority may be given to other businesses that have yet to receive any funded support.I understand that the support I will be offered is part funded by the European Regional Development Fund.I understand that this information will be retained until at least 31 December 2033 for evaluation and audit purposes. After that time, it will be destroyed in a secure manner. I give permission for my personal details to be shared and stored in a secure manner with the Ministry for Housing, Communities and Local Government, and other authorised bodies.I understand may be contacted at any time to discuss my involvement in the project.If I have ticked a ‘Prefer not to say’ option anywhere on this form, I confirm that I am refusing consent for this information to be collected for the purposes of equality monitoring.I agree to provide Gross Value Added (GVA) information when required (Gross Value Added (GVA) is a method of measuring the productivity and performance of a business)I give permission for my details to be shared with other business support organisations involved in the delivery of the Business Hot House (Sussex Innovation Centre, Princes Trust, WSX Enterprise, YTKO, EDEAL, Brighton & Hove City Council, Coast to Capital Growth Hub)I declare that the information provided in this small grant application form is correct and that I may be required to repay any grant fund paid out to me or the detailed business on this application if any of the information is found to be untrueI ACCEPT all of the above I DO NOT ACCEPT all of the aboveAdditional marketing opt in Optional (will not affect decision for ERDF support)As a customer of the Business Hot House and The University of Chichester, we would like to keep you up to date on our business events, support and funding opportunities. Your details will only ever be used in regard to University of Chichester Business Support opportunities. If you wish to receive communications from us, please opt-in by ticking the box Name: Signature:Date:Part four – Documents:Included DocumentsPlease tick all that are included in the applicationShort Business Plan (template available)12 month cash flow forecast (template available)Completed and Signed Application Form Certificate of incorporation (if applicable)Letter of registration of self-employment (if applicable)Registration of VAT (if applicable)Any other documents – please detailPlease submit the completed application form to the Grant Fund Manager, Neil Clarke - Invest4@brighton-.uk Internal reviewOutcome (Pass or Fail)WhoSignedEligibilityDue DiligencePanel reviewAdded to database ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download