Expression of Interest Form - Innovation Super Network

Expression of Interest Form

As the grant scheme is part funded by ERDF, we need to check your eligibility before you can complete a full
application. We also ask you to provide an outline of your project and its indicative cost.

Innovation SuperNetwork Grant Scheme

1. Where is your business located?*
2. Does your business employ less than 250 staff?*
- Yes
- No
3. Does your business have an annual turnover of less than £44m (eq 50m euros) or an annual balance sheet of less than £38m (43m euros)*
- Yes
- No
4. Is your business part of a group? (i.e. does it own more than a quarter of another business or is it more than a quarter owned by another business?)*
- Yes
- No
5. Please provide your business name*
6. Please provide your name*
Prefix First Last
7. Please provide your email address:*
8. Please provide a contact phone number:*
9. Please provide your business registered postcode*
10. Please provide your business website:
11. Please provide your business registration number:
12. Please provide your business sector:*
12a. If you selected 'other', please provide your business sector:
13. Where did you hear about the programme?*
13a. If you selected 'other', please tell us how you heard about the programme:
14. Tell us about your proposed project in no more than 250 words. What is the problem or need and how do you propose to resolve it? Please clearly describe the new product/service/process your business is developing and what the grant and match-funding will be funding to bring it closer to the market.
15. What is the indicative total cost of the project?*
16. Consent
I agree to allow my details to be used by Innovation SuperNetwork to contact me regarding innovation events, programmes and news relevant to the North East of England.
Innovation SuperNetwork will collect and process your personal information following the General Data Protection Regulations (GDPR).

We will only store your personal information for as long as we are contractually required to do so by the funders.
To use your personal information for any other reason, we require your consent. Intermittently we would like to contact you with details of other services, products or events, which we provide. If you consent to us contacting you for this purpose, please tick the box below. You can change your mind at any time by clicking the unsubscribe link in the footer of any emails we send.
Submitting*
By submitting this expression of interest, I confirm that the information that I have provided in this application form is correct and complete. I understand and accept that if I knowingly withhold information, or provide false or misleading information, this may result in my application not being progressed to the next stage.

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