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New Frontiers Phase One Application Form
IT Blanchardstown & IT Tallaght Phase One Bootcamp Programme Aug/ Sep 2017 (The LINC)
Applicant Name
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Applicant Address
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Applicant Email:
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Applicant Telephone Number:
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Applicant PPS Number:
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Have you ever received funding from any Irish state department or grant for this or for any other business?
If you answered yes that you have received funding please give full details of same including the department or organisation that you received funding from, the scheme details, the amount, the date received and any other relevant information:
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Have you ever participated in any state support programme or course run by LEO, Enterprise Ireland or any other organisation?
If you have participated in a course/programme please supply details:
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Company Trading Name (if any):
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Website address (if any):
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LinkedIn Link:
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Links to social media (Twitter/Facebook etc):
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How did you learn about the New Frontiers Programme?
Gender (optional):
What has made you consider setting up your own business (300-500 words)?
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Give details of your proposed product/service (300-500 words)?
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What problem does your solution address? (Quantify customer pain/issue)
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Tell us what you know about your customers (300-500 words)?
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Who is on your team?
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Why do you believe you will succeed with this venture?
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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.
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