You should give as much information as necessary to enable us to assess your business idea but should not disclose any information which is to be treated as commercial in confidence. You must not include details on any application or process which may be patentable unless you have secured the patent or this is pending - if you do disclose this it may invalidate any patent application you later make.

LAUNCH PAD 2010: APPLICATION FORM

Your Name
Your Email Address
Date of Birth
Home Telephone Number
Work Telephone Number
Mobile Telephone Number
Home Address
Company Address
Present Occupation
BUSINESS
Name of business:
Describe your business idea in one line:
Executive summary:
in this section of the form you have the chance to sell yourself and the idea. Please give a clear and comprehensive outline of your business.
What problem does your idea solve?
What stage are you at with patent or copyright protection (if required)?
Where are you up to with prototyping or testing? (if required).
Do you have a written business plan?

OTHER INFO
Please use this section to tell us about yourself.
Are you now or have you ever been a Director of any Companies? Please list Company names.
Do you have any criminal convictions? (Please give details whether spent or otherwise).
Have you ever been bankrupt or been disqualified from being a Director of a Company? (Please give details).
ENTREPRENEUR AVAILIBILITY
Recordings take place in the Harlow Enterprise Hub. Should you be successful in being selected for the series, you will be required to attend one recording day which will be a Wednesday. (Note: we will do our best to accommodate you, but please be aware that it may not be possible to include you in the series if your availability is limited.)
Please indicate any dates that you will definitely not be available for filming:
MONITORING / ADVERTISING
To help us with our research would you please state where you found out about the application process for Launch Pad (please tick as appropriate):






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