2015 Zenith Programme Application Form

Your Company

In this section we would like to get a brief understanding of your business

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* 1. Personal and contact details

Name

Job Title

Company

Direct Work Number

Mobile

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* 2. Please outline the nature of your business and its products and serviecs

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* 3. How many years has your company been in operation?

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* 4. What is your turnover for the last 3 years?

2012

2013

2014

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* 5. Are you engaged in exports? What % of overall turnover is export sales? To which markets?

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* 6. How have you funded the company's growth to date?
Please tick all that apply.

Customer Funding

Personal Investment

Venture Capital

EI grants

EU grants

Loans

Crowdfunding

Other (please specify)

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* 7. Have you previous experience of funding in other companies/organisations?

Yes

Comment

Question Title

* 1. Personal and contact details

Question Title

* 2. Please outline the nature of your business and its products and serviecs

Question Title

* 3. How many years has your company been in operation?

Question Title

* 4. What is your turnover for the last 3 years?

Question Title

* 5. Are you engaged in exports? What % of overall turnover is export sales? To which markets?

Question Title

* 6. How have you funded the company's growth to date? Please tick all that apply.

Question Title

* 7. Have you previous experience of funding in other companies/organisations?

* 6. How have you funded the company's growth to date?
Please tick all that apply.