Boost Your Business Form

If you wish to apply for a place on the Boost Your Business Coaching programme in Huntingdonshire, then please complete the following form.

Before doing so, please read the eligibility criteria carefully, to save you time if you don’t meet the criteria.

Title*
First Name*
Last Name*
Job Title*
Telephone*
Mobile*
Email*
Information may be used by third parties?* Tick to accept the following statementBy submitting this application form you are giving St John’s Innovation Centre Ltd, as the data owner under the Data Protection Act, permission to use your data for this programme and other associated programmes. Please note this data may be shared with the Department for Business Innovation and Skills (DBIS) and Huntingdonshire District Council.
Company Name*
Address 1*
Address 2
Address 3
Town/City*
County*
Post Code*
Website
Year Established*
Please provide the total number of full-time equivalent employees for your business*
Legal Status of Company*
Your Core Products
Your key market area
Your Industry Sector*

Agriculture

Forestry

Fishing

Mining and quarrying

Manufacture or supply

Food products

Chemical & Pharmaceutical products

Computers & electrical equipment

Vehicles, machinery & equipment

Clothing & apparel products

Printing & reproduction of recorded media

Energy/Power

Electricity

Gas

Steam

Water

Air Conditioning Supply

Construction, building and architectural industry

Retail trade

Logistics, distribution and Storage

Publishing of books, periodicals and other information

Telecomms, Computer programming, consultancy and related activities

Legal, Accounting, financial and insurance activities

Design and creative industries

Administrative and Business Support Activities

Public and/or voluntary sector

Human Health and Social Work Activities

Arts, Entertainment and Recreation

Other
Month of Company year end
Sales (forecast for current year and next year) 2009/2010 Actual*

2010/2011 Actual or Forecast*

2012/2013 Forecast*
Have you received any other offers of state aid, such as grants, in the past three years?
If the answer is yes, we need to ask the value
In which ways do you think the Coaching for High Growth Programme can support you?*
Please let us know how you heard about Boost Your Business Coaching
Other please specify
Please scroll up to ensure all items are entered correctly before pressing the submit button.