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New Frontiers Phase One Application Form - 2018
IT Blanchardstown & IT Tallaght Phase One Evening Programme July/August 2018
Email address *
Family Name *
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Given Name/s *
Your answer
Applicant Address *
Your answer
Applicant Email *
Your answer
Applicant Telephone Number: *
Your answer
Please indicate your preference for Evening or Weekend version of the Programme? *
Have you ever received funding from any Irish State department or Organisation for this or for any other business? *
If you answered yes, please supply full details including the department or organisation that you received funding from, the scheme details, the amount, the date received and any other relevant information:
Your answer
Have you ever participated in any state support programme or course run by LEO, Enterprise Ireland or any other State organisation? *
If you have answered yes, please supply details:
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Business Status *
Company Trading Name, Registration Number & Date of Commencement, (if any):
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Website address (if any):
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LinkedIn Profile (If any):
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Links to social media (Twitter/Facebook etc):
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How did you learn about the New Frontiers Programme? Please specify *
Gender (optional):
Tell us about your background (300-500 words)? Specify how that is relevant to starting this business. *
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Give details of your proposed product/service (300-500 words)? Specify what is innovative about it. *
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What problem does your solution address? (300-500 words) Clarify customer pain/issue. *
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Tell us what you know about your customers (300-500 words)? Market research completed, if any. *
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Tell us what you know about your market/s (300-500 words) Market Opportunity. *
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Who is on your team? *
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Why do you believe this venture will succeed as a Business proposition? *
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I agree that all statements and information contained in this form are correct and permit the information to be shared with external assessors, funding agencies and potential mentors under non-disclosure agreements. The data you submit as part of this application will be collected and stored by the Institute of Technology Blanchardstown and Enterprise Ireland for the purposes of evaluating this application and for future audits. *
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All applications will be reviewed after the closing date of June 27th
A copy of your responses will be emailed to the address you provided.
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