Application Form Home 5 Application Form Step 1 of 3 33% About your businessName of business(Required)Proposal(Required)Describe your business proposal in one sentence.Proposed Business Sector(Required)Business servicesCleaningConstructionCreative and digitalEducation and trainingEngineering and manufactoringHorticultureFinancial and professionalHair and beautyHealth and social careHospitality and cateringManufacturingRetailSport and leisureSustainable ResourcesTextilesTransportHas your business started trading yet? If so when did it start trading?(Required)New start-upExisting business trading before March 2023Existing business trading since March 2023Please tick any of these that are applicable(Required) Company registration number Date company incorporated Date started trading UTR number Company registration number(Required)Please provide one of the following dates.Date company incorporated(Required) MM slash DD slash YYYY Date started trading(Required) MM slash DD slash YYYY UTR number(Required)How much funding do you need? (minimum amount)(Required)How will the funding be used?(Required)Briefly summarise how the funding will be used.Do you anticipate that any jobs will be created as a result of this investment? (Full or part-time.)(Required) Yes No How many employees are required to run your business?Are the jobs located in Oldham?(Required) Yes No Which groups are these jobs for?(Required) Young people (aged 16 to 24) Experienced staff Please Confirm(Required) I am prepared to attend the mandatory workshops and accept the free business support consultation outlined in the programme eligibility conditions Entrepreneur availabilityAre there any dates that you will not be available for interview? Yes No Please add any dates you will not be available MonitoringWhat is your ethnicity? Arab Asian or Asian British Black, Black British, Caribbean or African Mixed or multiple ethnic groups White Other ethnic group Prefer not to say Other ethnic groupOther gender identityWhat is your gender identity? Male Female Non-binary Prefer not to say Other Do you consider yourself to have a disability?(Required) Yes No Prefer not to say AdvertisingWhere did you first hear about this programme?(Required) Business Growth Hub website Email Event Facebook lyer or poster Instagram Local press Oldham Business Network Oldham Council website OET Website Oldham Library’s Build a Business Programme Prince's Trust Radio Start up Huddle Oldham Twitter Upturn Enterprise Word of mouth Other Other advertisingAbout you and your businessName(Required) First Last Date of birth(Required) DD slash MM slash YYYY Phone(Required)Email(Required) Home Address(Required) Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands What Oldham ward does your home come under?(Required)AlexandraChadderton CentralChadderton NorthChadderton SouthColdhurstCromptonFailsworth EastFailsworth WestHollinwoodMedlock ValeRoyton NorthRoyton SouthSaddleworth NorthSaddleworth SouthSaddleworth West and LeesShawSt JamesSt Mary'sWaterheadWernethBusiness Address(Required) Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands What Oldham ward does your business come under?(Required)What is your current employment status?(Required)EmployedSelf EmployedUnemployed and in receipt of benefit JSA or Universal CreditUnemployed and NOT in receipt of benefits JSA or Universal CreditStudentAre you eligible to work in the UK?(Required) Yes No Are you subject to any restrictions on working in the UK?(Required) Yes No Please give details. Documentary evidence to substantiate this will be required at a later stage.Do you have any criminal convictions?(Required) Yes No Please give details including whether spent or otherwise.Have you ever been bankrupt or disqualified from being a director of a company?(Required) Yes No Please give details of thisAre there any other actual or intended partners/owners of the business?(Required) Yes No What is the business relationship?Do you consent to your personal information being used to inform you of services and events organised by Oldham Enterprise Trust?(Required) Yes No Do you give your consent for OET to share your personal information with our organisational partners so that they may inform you of any events and services they may feel are useful to you?(Required) Yes No Do you give your consent to have your image/s and or voice being used for OET public marketing purposes such as ie photos, videos, website, YouTube videos of workshops, etc(Required) Yes No Please Confirm...(Required) I have read fully and understood the contents of this form and any supporting information and agree to the terms and or conditions set out within The Oldham Enterprise Trust helps Oldham residents into enterprise and employability – over £1 million pounds given out to support business start-ups in Oldham.
