First name

Last name

And, your email address?

What's the best mobile number to contact you on?

Now, let's get a bit more information about you...

This section covers some monitoring and evaluation questions for our partners. All questions are optional and we appreciate any cooperation.

What is your gender?

What is your ethnic group?

What are your preferred pro-nouns?

Which of the following best describes your sexual orientation?

Please state any dietary or accessibility requirements you have.

Which date would you prefer to attend Workshop One. Please select one of the following options.

Which date would you prefer to attend Workshop Two. Please select one of the following options.

Which date would you prefer to attend Workshop Three. Please select one of the following options.

Now, let's get a bit more information about your company...

What is your company called?

Is {companyName} the legal name of your company? If not, add that in here.

And, what's your job role?

Which of these best describes your business?

Where is {companyName} based? Please include full address including postcode.

Tell us a bit about your business

Does {companyName} have a website? If so please could you include the link below.

Can you upload a high resolution version of your company logo?

Other than yourself, how many members of staff do you have right now?

How many freelancers do you work with on a regular basis? (i.e. multiple time per month)

What's your annual turnover from your latest complete financial year?

Please confirm which financial year this refers to

What are your top three challenges you'd most value input on?

The more information you can give us here the more tailored we can make this support

How did you hear about our programme? If you were referred by a business, leader or individual please let us know here.

Is there anyone else in your network you think could benefit from this support?

Please give names, emails and business names

How would you rate the Wirral as a place to start, build and grow your business?

Tell us why you gave that score.

How connected do you feel to the digital, creative and tech wider sector and ecosystem in the Wirral?

Tell us a bit about that score.

Please provide the total Minimum Financial Assistance (Subsidy Control) {companyName} has received over the last three years (excluding funding related to this application).

This project involves a Minimum Financial Assistance (MFA) subsidy under the Subsidy Control Act (2022). Minimal Financial Assistance (MFA) allows public authorities to award low value subsidies without needing to comply with the majority of the subsidy control requirements.

MFA has a threshold for the amount of public funding/publicly funded support a business is entitled to receive. The threshold is £315,000 over an applicable 3 financial year period and the Act defines a financial year as a period of 12 months ending on 31 March. The applicable 3-year period is the elapsed part of the current financial year (i.e. from 1 April), and the previous two financial years immediately preceding the current financial year.

I declare that over a rolling three-year period, {companyName} has previously received less than £315,000 Minimum Financial Assistance (Subsidy Control) and I confirm that I am authorised to sign on behalf of the company / organisation named in this form. I confirm that I accept that if the company / organisation named in this form fails to meet the eligibility requirements, the company / organisation may become liable to repay the full price that would otherwise be payable in respect of the services received.  

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