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* 1. Name

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* 2. Position

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* 3. Please confirm you have autonomy to implement change in your Business?

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* 4. Company

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* 5. Sector

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* 6. Trading Address

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* 7. Telephone Number

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* 8. Email Address

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* 9. Date commenced trading (minimum of 12 months)

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* 10. Turnover (minimum of £100,000)

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* 11. Number of employees (minimum of 5)

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* 12. Confirm you have an aspiration to grow your business?

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* 13. Confirm that you can commit to receiving the full 21.5 hours of support before the end of March 2021?

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