Lot 4 @ ICE 5-9 WG Application Form - Existing Business

Thank you for your interest in the 5-9 Club! 🌜✨

To complete your application, please fill out the below form.

The below form is for applicants who already have an existing business (have raised their first invoice). If you haven’t started trading yet, please use the pre-start application form here.

We know it can be difficult to speak about your business idea to strangers – it’s your baby, and you don’t want it to come under any criticism. That’s why we ask you to share your ideas on this form along with some admin details before you get started on your 5-9 club journey.

Make yourself a cuppa, settle in, and complete the form to secure your space – Good luck!

This application should take approximately 10-20 minutes.

Your email address *

Which title do you go by? *

First Name *

Last Name *

What's your job title? *

Are you the main contact for the business? *

Yes No

Address line 1: *

County *

Postcode *

Is this the same as your home address? *

Yes No

What is the best contact telephone number for you? *

Do you have an alternative contact number?

If you have a website - What's the web address?

Do you have any additional requirements we need to consider when providing you with support? e.g. Audio or visual impairments, Mobility, Care responsibilities, Language, Dyslexia

What's your current employment status? *

Gender - Do you consider yourself.... *

Are you a Welsh speaker? *

Yes No

What is the trading name of your business? *

Please tell us about your business activities - what does your business currently offer? *

What are you aiming to achieve going forward? Are you looking to launch a new project, service or expand? *

When did you begin professionally trading? By this we mean the approximate date of your first professional sale? (DD/MM/YY) *

Company Registration Number

VAT Number

How many employees work in the business, including you? *

How many of those are full time? *

How many of those are part time? *

How many is that compared to Full Time Equivalency? *

How many additional staff will you be looking to employ within the next 6-12 months? *

How many will be working in the business in 3 years? *

What is your current turnover for the last 12 months? (Or to-date if trading for less than a year?) *

What is your projected turnover for the following year? (2022) *

What is your projected turnover for the following year ? (2024) *

What is your projected turnover for the following year? (2025) *

How much in GBP has your business made from sales abroad (exports)? *

What is your balance sheet total? *

Have you received any funding or assistance that was subject to De Minimis State Aid Rules? This is often funding from European, UK or Welsh Government sources. *

Yes No

How many people own the business / have shares in the business? *

How many of them consider themselves disabled? *

How many of them consider themselves BME? *

How many are Male? *

How many are Female? *

How many are Welsh speakers? *

Please list the ages of the owners *

What are you hoping to gain from attending the 5 to 9 Club? *

What aspects of business are you finding most challenging or daunting at the moment? Are you finding any barriers in your path?

Would you consider your business idea to be innovative? *

Yes No

Would you like to understand the opportunities associated to newer technologies and Superfast Broadband?

Yes No

Would you be interested in exporting in the future? *

Yes No I'm already exporting

Is the business a social enterprise? *

Yes No

Where did you hear about us?

Do you have any comments you would like to add?

Please read and accept the Business Wales Privacy Statement to submit your application. In order to receive Business Wales Support, we are required to collect information from you. This information will include personal information and relevant business information which will enable us to provide you with the appropriate advice and information. Failure to provide us with this information will preclude you from accessing the service. Read the full statement here: https://businesswales.gov.wales/business-wales-operational-privacy-statement *

I have read and agree to the above privacy statement

5-9 Application Form