Business Incubator Entrepreneur Application Form

To learn more about our Business Incubator Startup Programme, please click here

Please complete the entire application giving as much information as possible to ensure we can properly assess how suitable you are to become an entrepreneur for the Incubator.

Applicants must be between 18 - 25 and of African/African Caribbean heritage.

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* 1. Your Full Details

Full Name

Name of your Company (if you have one)

Your Social Media Profile (please provide a link or say n/a if you don't have one)

Address

City/Town

Post Code

Your role in the business

Particular skills you bring to the business

Email Address

Mobile

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* 2. Please tick to confirm the following

You are the Founder/Lead Director/Main Person in the proposed business

You are between the ages of 18 - 25

You and your team (if you have one) are able to commit to a 13 week programme starting in October 2017

Your proposed Business will have a team of at least 2 people

Your proposed business is/will be at least 50% Black owned (meaning of African or African Caribbean heritage)

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* 3. Describe your business or business idea in no more than 200 words. Make sure you outline what problem your business solves, and how you solve it. What is your big vision of how you want to change people's lives for the better?

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* 4. What market does your business propose to serve? Describe any experience or particular knowledge you or your team has of this market.

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* 5. Does your proposed business have any particular benefit for the Black community? If so, please say how

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* 6. How will you be using technology as part of the business? Do you or your team have any tech skills or experience?

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* 7. We do accept applications from sole founders & solopreneurs but if you already have a team, please tell us about the next most important member of your team

Full Name

Best Social Media Profile (please provide a profile link)

Role in the Business

Particular skills he/she brings to the business

Age

Any other relevant information

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* 8. All businesses that join the 100 Business Incubator will be asked to commit to:

donate 3% to the 100 Black Men of London of any funding they receive from investors in their first round of funding after joining the Incubator

commit to giving at least 5 hours as a mentor or support to other entrepreneurs, who join the Incubator programme after you

Please tick to confirm your agreement to this

My team agree to donate 3% to the 100 Black Men of London of any first round funding received after joining the Incubator

My team agree to give at least 5 hours of our time as mentors or support to other entrepreneurs who join the Incubator programme after us

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* 9. We may have a fund to support your business with up to an initial £1,000 investment. If you received this initial investment, what would you use it for?

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* 1. Your Full Details

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* 2. Please tick to confirm the following

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* 3. Describe your business or business idea in no more than 200 words. Make sure you outline what problem your business solves, and how you solve it. What is your big vision of how you want to change people's lives for the better?

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* 4. What market does your business propose to serve? Describe any experience or particular knowledge you or your team has of this market.

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* 5. Does your proposed business have any particular benefit for the Black community? If so, please say how

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* 6. How will you be using technology as part of the business? Do you or your team have any tech skills or experience?

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* 7. We do accept applications from sole founders & solopreneurs but if you already have a team, please tell us about the next most important member of your team

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* 9. We may have a fund to support your business with up to an initial £1,000 investment. If you received this initial investment, what would you use it for?

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* 10. Is there anything else you want us to know in support of your application?