Current Start Preview Complete Pre qualifying questions I have read the eligibility criteria - Select -YesNo I confirm my business and project are eligible for the grant - Select -YesNo I confirm I have sufficient funds to purchase the items for which a grant is required, note that a grant is paid in arrears on evidence of defrayal, and that no contract can be placed prior to a grant application being approved - Select -YesNo Does your business have an annual turnover less than £36m? - Select -YesNo Does your business have an annual balance sheet total less than £18m? - Select -YesNo Does your business have less than 250 employees (including owners/directors)? - Select -YesNo Unfortunately you will not be able to apply for the grant at the moment, however a member of the team will call you to discuss how we can assist – it may be that you can apply in the next grant opportunity window. Contact Details Name Email Address Phone Number Grant Please select the type of grant you are applying for - Select -SME GrantNet Zero Grant About Your Project Please give full details of what you intend to spend this grant on if you are successful and why you are looking to make that investment. This must include a summary of the rationale for and the impact of the investment; the estimated total cost of your project; and the timeline for making the investment. Your details Name Customer name Title Title - Select -MissMsMrMrsDrOther… Enter other… First name Last name Contact Contact details Email Phone number Position / Job Title Age - Select -16-2425-3435-4445-5455-6465+Prefer not to say Gender (for equality monitoring purposes only) Gender (for equality monitoring purposes only) - Select -MaleFemalePrefer not to sayPrefer to self describe Enter other… Ethnicity - Select -WhiteMixed/Multiple ethnic groupsAsian/Asian BritishBlack/African/Caribbean/Black BritishOther ethnic groupPrefer not to say Disability (Physical or Mental Health Condition or Illness Lasting or Expected to Last 12 Months or more) - Select -YesNoPrefer not to say Company details Company Registered Name Company Registered Name Company Address Company address First line of address Second line of address City/Town Postcode Business website address Company Registration Number (or Unique Tax Reference if a Sole Trader) Legal Status - Select -Sole TraderPrivate Limited CompanyPartnershipLimited Liability PartnershipPublic Limited CompanyCommunity Interest CompanyCharity OtherCharitable TrustCompany Limited by GuaranteeFoundationUnincorporated Association Date Company Established (or trading start date if a Sole Trader) Sector - Select -Agriculture, Forestry and FishingMining and QuarryingManufacturingElectricity, Gas, Steam and Air Conditioning SupplyWater Supply; Sewerage, Waste Management and Remediation ActivitiesConstructionWholesale and Retail Trade; Repair of Motor Vehicles and MotorcyclesTransportation and StorageAccommodation and Food Service ActivitiesInformation and CommunicationFinancial and Insurance ActivitiesReal Estate ActivitiesProfessional, Scientific and Technical ActivitiesAdministrative and Support Service ActivitiesPublic Administration and Defence; Compulsory Social SecurityEducationHuman Health and Social Work ActivitiesArts, Entertainment and RecreationOther Service ActivitiesActivities of Households as Employers; Undifferentiated Goods-and Services-Producing Activities of Households For Own UseActivities of Extraterritorial Organisations and Bodies Sub Sector - Select -Crop and animal production, hunting and related service activitiesForestry and loggingFishing and aquacultureMining of coal and ligniteExtraction of crude petroleum and natural gasMining of metal oresOther mining and quarryingMining support service activitiesManufacture of food productsManufacture of beveragesManufacture of tobacco productsManufacture of textilesManufacture of wearing apparelManufacture of leather and related productsManufacture of wood and of products of wood and cork, except furniture; manufacture of articles of straw and plaiting materialsManufacture of paper and paper productsPrinting and reproduction of recorded mediaManufacture of coke and refined petroleum productsManufacture of chemicals and chemical productsManufacture of basic pharmaceutical products and pharmaceutical preparationsManufacture of rubber and plastic productsManufacture of other non-metallic mineral productsManufacture of basic metalsManufacture of fabricated metal products, except machinery and equipmentManufacture of computer, electronic and optical productsManufacture of electrical equipmentManufacture of machinery and equipment n.e.c.Manufacture of motor vehicles, trailers and semi-trailersManufacture of other transport equipmentManufacture of furnitureOther manufacturingRepair and installation of machinery and equipmentElectricity, gas, steam and air conditioning supplyWater collection, treatment and supplySewerageWaste collection, treatment and disposal activities; materials recoveryRemediation activities and other waste management servicesConstruction of buildingsCivil engineeringSpecialised construction activitiesWholesale and retail trade and repair of motor vehicles and motorcyclesWholesale trade, except of motor vehicles and motorcyclesRetail trade, except of motor vehicles and motorcyclesLand transport and transport via pipelinesWater transportAir transportWarehousing and support activities for transportationPostal and courier activitiesAccommodationFood and beverage service activitiesPublishing activitiesMotion picture, video and television programme production, sound recording and music publishing activitiesProgramming and broadcasting activitiesTelecommunicationsComputer programming, consultancy and related activitiesInformation service activitiesFinancial service activities, except insurance and pension fundingInsurance, reinsurance and pension funding, except compulsory social securityActivities auxiliary to financial services and insurance activitiesReal estate activitiesLegal and accounting activitiesActivities of head offices; management consultancy activitiesArchitectural and engineering activities; technical testing and analysisScientific research and developmentAdvertising and market researchOther professional, scientific and technical activitiesVeterinary activitiesRental and leasing activitiesEmployment activitiesTravel agency, tour operator and other reservation service and related activitiesSecurity and investigation activitiesServices to buildings and landscape activitiesOffice administrative, office support and other business support activitiesPublic administration and defence; compulsory social securityEducationHuman health activitiesResidential care activitiesSocial work activities without accommodationCreative, arts and entertainment activitiesLibraries, archives, museums and other cultural activitiesGambling and betting activitiesSports activities and amusement and recreation activitiesActivities of membership organisationsRepair of computers and personal and household goodsOther personal service activitiesActivities of households as employers of domestic personnelUndifferentiated goods- and services-producing activities of private households for own useActivities of extraterritorial organisations and bodies SIC Code If you are unsure which SIC Code applies to your business, please view Companies House - Standard Industrial Classification Number of Full-Time Equivalent Direct Employees Annual Turnover £ Annual Turnover Date Description of Business What are your main products and services Who are your key customers Key challenges / barriers faced (eg supply chain, skills, cashflow and finance, regulations, Brexit, competition) How do rate the current trading conditions (e.g.very good to very weak with supporting statement) Identify any recruitment needs or skills gaps Your Communications Preference I am happy to receive communications and to be kept up-to-date with business support opportunities including grant funding, local, regional and national initiatives and other relevant business support programmes, resources and events. Privacy Disclaimer Support provided under the UK Shared Prosperity Fund (UKSPF) is delivered through a new regional service called Business Growth West Midlands - a joint collaboration between West Midlands Combined Authority (WMCA) and Wolverhampton City Council. As this support is publicly funded by UK Government, in order to satisfy public sector data recording and monitoring obligations, we may share the information you provide on this form with the above organisations. By submitting this form, you consent to us retaining your details for the purposes of record keeping, supporting your business and sharing your details with the above organisations. 20948
