2019 New Frontiers Phase One Application Form
IT Tallaght & IT Blanchardstown Phase One Programme. This programme will run for 6 weeks commencing on Monday, 21st January 2019 and finishing on Wed, 27th February 2019. The programme will be conducted at the Synergy Centre at IT Tallaght on Monday Evenings, 6pm to 9pm and continues at the LINC, IT Blanchardstown on Wednesday evenings, 6pm to 9pm. Applications for this programme will close on Wed, 9th January 2019.

Subject to demand, an additional weekend bootcamp style, Phase 1 programme will be offered. This will run over two full weekends (commencing on Friday evenings on the 22 Feb & 8th March and continuing on Sat & Sun) and you can indicate a preference for this on the form below.

Please note that times/dates may be subject to change for operational reasons.

Email address *
Applicant Name *
Your answer
Applicant Address *
Your answer
Applicant Telephone Number: *
Your answer
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:
Your answer
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:
Your answer
Preferred Phase 1 workshop timing *
Company Trading Name (if any):
Your answer
Website address (if any):
Your answer
LinkedIn Link:
Your answer
Links to social media (Twitter/Facebook etc):
Your answer
How did you learn about the New Frontiers Programme? *
Gender (optional):
Give details of your proposed product/service (300-500 words)? *
Your answer
What problem does your solution address? (Quantify customer pain/issue, 300-500 words) *
Your answer
Tell us what you know about your customers (300-500 words)? *
Your answer
Who do you view as competitors (500 words max)?
Your answer
What has made you consider starting up this business at this time (300-500 words)? *
Your answer
Give outline details of your career to date (What aspects will help this venture?, 300-500 words): *
Your answer
Who is on your team (Co-founders, Advisors, etc)? *
Your answer
Why do you believe you will succeed with this venture?
Your answer
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. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service