Expression of Interest - The Bankwest Small Business Health Program

developed in collaboration with The Small Business Development Corporation

Thank you for showing an interest in the exciting new program “Business Health” which aims to give you the confidence, resilience and capability to grow your business.

In order to ensure this is the right program for you we need to check a few things first.

Once we have received your responses a member of the team will be in contact  to talk you through the next steps.

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* 1. Firstly, tell us a bit about you, answer yes or no to the following questions (if you answer no to one or more questions please contact us before going any further, we don't want to waste any of your valuable time)

The information provided by you in this survey is necessary to determine whether your business is eligible for, and the administration of, the Business Health program. By providing us with your personal information you acknowledge and agree that information you provide will only be used in connection with the Business Health program and otherwise in accordance with Bankwest’s Privacy Policy. https://www.bankwest.com.au/legal-stuff/bankwest-privacy-policy

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Are you one of the business owners and involved in the day to day operations?
Is the business your primary source of income?
Have you been running the business for at least 12 months?
Are you actively planning to grow your business in the next 12 months?

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* 2. What suburb and postcode do you live in?

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* 3. Now please tell us a bit about the business, answer yes or no to the following questions (if you answer no to one or more questions, please contact us before going any further)

  Yes No
Is the business ABN and GST registered?
Are the primary operations of the business based in Western Australia?
Can you confirm the business activity does not include anything of a discriminatory nature or promote gambling or violence?
Does the business employ between 0-19 employees?
Can you provide evidence (if requested) that the business is solvent e.g. previous business activity statement (BAS)?

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* 4. Nearly there, please confirm that you can commit fully to the program (if you answer no to one or more questions, please contact us before going any further)

  Yes No
Can you commit to five half day workshops (delivered in Perth or online) between February and June 2018?
Can you commit to three, one hour individual coaching sessions between February and June 2018?

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* 5. If you have answered yes to all the above essential criteria, please provide some important information about you and your business.

What's your full name?

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* 6. What's your best contact number?

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* 7. What's your email address?

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* 8. What's the name and website address (if applicable) of your business?

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* 9. What is your business ABN?

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* 10. How many employees do you currently have?

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* 11. Please provide a brief description of what your business does.

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* 12. Can you describe what growth you're looking to achieve in your business over the next 12 months?

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* 13. Have you completed any other training to support the growth of your business in the last 2 years?

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