LEAP | Fill out an application to join our next Business Start-up Programme

Title *

If other, please specify *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Home phone number *

Mobile phone number

Email address *

Email

Confirm Email

Do you have the right to legally work in the UK? *

Yes
No

What is your employment status?

If other, please specify *

How did you hear about LEAP? *

In 60 words or fewer, give us a brief description of your business idea. *

Is your business part of a franchise? *

Yes
No

Is your business part of a social enterprise? *

Yes
No

Where will your business be located?

If other, please specify *

How much money do you need to start your business? *

How much money do you have towards this? *

If you were to win the £2,500 cash prize, what would the money be spent on? *

Can you start the business without the prize money? *

Yes
No

Declaration

The information I have given on this application is accurate. I understand that failure to provide accurate information may result in me being removed from the programme and having to repay any expense occurred. (1) I understand that participating in the LEAP Programme will assist me in the planning and preparation of my new business, but participation does not guarantee that my new business will succeed. (2) I fully understand that any adviser(s) or mentor(s) that I meet and engage with through LEAP are giving me their personal thoughts on how they would analyse, evaluate and make decisions. Any such information or suggestions then acted upon by myself either personally or on behalf of my company is at all times at my own risk and any disadvantage gained as a result is not attributable in any way to the advisor or LEAP Programme. (3) By signing this declaration I understand that this form and others completed on the programme may be passed on to Lewes District Council, Government Departments, EDEAL, ACES and other funding and programme partners. (4) I understand that photos will be used during the LEAP Programme to publicise the work of the LEAP partners. I consent to such images being used. (5) By signing this declaration I agree to the sharing of data amongst partners. Your data will not be sold to any third parties, and will be used purely for administering the programme and keeping you, and our funding partners, up to date on your progress. (6) I agree that any decision made not to grant me a place on the programme is final, and I accept the judges decision when a winner is selected.

Please retype your name *

This acts as your digital signature and confirms that you agree with the declaration above.

Date *

Privacy statement *

I consent to LEAP and EDeal storing my submitted information so they can handle my enquiry.

The LEAP Business start-up programme provides workshops, with the opportunity to participate in 1-2-1 business mentoring and a chance to win a cash prize of £2,500.

Declaration

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