ScaleUp TT – Cohort 6 Application Form

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ScaleUp TT – Cohort 6 Application Form

Thank you for your interest in joining the upcoming ScaleUp TT! Please fill out the following questions to help the selection committee evaluate your company's qualification to leverage the ScaleUp TT programme to attain new growth.

All information in this application will remain confidential to the selection committee. Learn more, visit scaleuptt.com.

Any questions with regard to the application, please contact Mr. Attiba Alexander at Aalexander@ttutc.com or 309-7191

First Name *

Last Name *

Email Address *

In a paragraph, provide a description of your business. What product(s)/service(s) do you sell? Give a brief history including any major changes in ownership. *

My business is primarily *

Business-to-business (B2B) - We primarily sell to businesses or enterprises

Business-to-consumer (B2C) - We sell directly to consumers

If B2B, estimate the number of customers you have.

(If B2C or if your typical B2B customer annual payments is less than $1,000, skip to the next question)

Approximately what percentage of your revenues does your largest customer represent (over the last 12 months)? *

less than 5%

5%-25%

25%-50%

50%-75%

greater than 75%

Describe your typical customer profile in a few sentences including information about their size, type of business. *

What were your last 12 months' revenues (to the nearest $0.5 million)? *

What is your projected revenue growth for the coming 12 months compared to the previous 12 months? Scale of 0 - 100%

The number you give is not a consideration in acceptance for the ScaleUp TT programme.

Less than 0%

10%

20%

30%

40%

Greater than 50%

Approximately what percentage of your last 12 months' sales are exports? *

10%

20%

30%

40%

Greater than 50%

How many full-time employees do you have? *

How many non-full time workers do you have (part time, near-full time contractors, fractional professionals)? *

Describe all of your direct reports – names, titles and key responsibilities. *

List those people who would participate with you in most or all of the workshops *

Do you have a board of directors? *

Yes

Do you have formally appointed advisors? *

Yes

Specify the ownership % of the top 3-5 shareholders, indicating your own % ownership. *

Is 100% of your professional and working time devoted to managing and growing this one company? if not, where else do you devote your time? *

Yes, 100% of my professional time is devoted to this company (ignore philanthropic, volunteering, or non-executive board memberships)

No, I have other professional activities that require part of my time.

If your answer to the above was NO, please explain below. *

List the most important resources, help or areas of advice you will need to achieve your growth ambitions. *

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