1.Your organisation and key contact details

Organisation name:

Website:

Key Contact Person:

Mobile:

Email:

2.Please share a brief description of your organisation. If you're a sole trader, please tell us about yourself and your focus area (100 words)

3.Tell us about the work you/your organisation does regarding job-creation for people with complex barriers to work (100 words)

4.Are you a certified or verified Social Enterprise? (please mark what is relevant)

Social Traders certified

People and Planet verified

Currently exploring certification / verification

Neither

5.Which of the following best describes your organisation’s stage and capacity to pay for a desk at the hub? Pricing below is the cost per desk.

Start-up social enterprise (less than 2 years): $200/month

Established social enterprise or employment-focused venture: $380/month

Other (please specify)

6.How many desks are you interested in?

7.What is your preferred length of tenancy?

8.Do you have specific facility needs?

9.Where did you first learn about the hub?

WBE social media

WBE newsletter

Word of mouth

Through a sector peer / organisation

Other (please specify)

10.Any additional questions? The White Box team welcomes any queries.