EMPOWER GROWTH & START 2021 PROGRAMME APPLICATION FORM
A free entrepreneurship programme for females in the West and North West of Ireland.
Applicant's First Name *
Applicant's Surname *
Phone Number *
Email *
County *
Company Website (if applicable)
How many full time employees does your business employ? Please select other if you employ part time employees and specify the number, or if it is only yourself in the business and you do not take a wage. *
Required
Please list any other members of your team and role (if any team members) *
Tell us about your business? *
How many paying customers does your business have? *
Who are your customers? *
What is the problem you are trying to solve for your customers? *
Who are your competitors? *
Tell us about what you have done in your business to date? *
What are your plans for the future? *
What do you believe are your barriers to progress? *
What courses / programmes have you completed in the past? Include title, provider, duration and completion date.
Give brief details of your career / employment to date (experience, previous start-up or self employment etc.). *
Are you currently enrolled in any training programmes? If yes, please provide details. *
What do you think your greatest needs are? *
Which programme suits you best?
Clear selection
Can you commit to the following? (please tick to confirm you understand the duration of the programme you are applying for) *
Required
How did you hear about the EMPOWER Programme *
Required
Would you like to subscribe to our mailing list which provides information on upcoming events? *
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