Current Start Preview Complete Pre qualifying questions I have read the eligibility criteria - Select -YesNo I confirm my business and project are eligible for the grant - Select -YesNo I confirm I have sufficient funds to make my contribution toward the purchase the items for which a grant is required, note that a grant is initially paid at 80% of the maximum allowed with the further 20% in arrears on evidence of defrayal, and that no contract can be placed prior to a grant application being approved - Select -YesNo Does your business have an annual turnover less than £10m? - Select -YesNo Does your business have less than 50 employees (including owners/directors)? - Select -YesNo Unfortunately you will not be able to apply for the grant at the moment, however a member of the team will call you to discuss how we can assist – it may be that you can apply in the next grant opportunity window. Contact Details Name Email Address Phone Number Grant Please select the type of grant you are applying for - Select -Frontage Improvement GrantInterior and Exterior Refurbishment GrantDigital, Marketing and Security Grant About Your Project Please give full details of what you intend to spend this grant on if you are successful and why you are looking to make that investment. This must include a summary of the rationale for and the impact of the investment; the estimated total cost of your project; and the timeline for making the investment. (max 250 words) Please describe your project (max 250 words) Indicative Project Cost – breakdown into different elements if required (Max 50 words) Describe the environmental impact of your project on your business (max 100 words) Have you delivered grant funding project previously? - None -YesNo How much grant funding did you receive and from which organisation? (100 words) Your details Name Customer name Title Title - Select -MissMsMrMrsDrOther… Enter other… First name Last name Contact Contact details Email Phone number Position / Job Title Age - Select -16-2425-3435-4445-5455-6465+Prefer not to say Gender (for equality monitoring purposes only) Gender (for equality monitoring purposes only) - Select -MaleFemalePrefer not to sayPrefer to self describe Enter other… Ethnicity - Select -WhiteMixed/Multiple ethnic groupsAsian/Asian BritishBlack/African/Caribbean/Black BritishOther ethnic groupPrefer not to say Disability (Physical or Mental Health Condition or Illness Lasting or Expected to Last 12 Months or more) - Select -YesNoPrefer not to say Company details Company Registered Name Company Registered Name Company Address Company address First line of address Second line of address City/Town Postcode Business website address Company Registration Number (or Unique Tax Reference if a Sole Trader) Legal Status - Select -Sole TraderPrivate Limited CompanyPartnershipLimited Liability PartnershipPublic Limited CompanyCommunity Interest CompanyCharity OtherCharitable TrustCompany Limited by GuaranteeFoundationUnincorporated Association Date Company Established (or trading start date if a Sole Trader) Number of Full-Time Equivalent Direct Employees Description of Business What are your main products and services Financial Information How long has your business been trading for (years/months) Last Set of Financial Year Statements/Last HMRC Filing Tax Return indicating: An annual turnover of: £ A gross profit of: £ Overheads of: £ A net profit of: £ Your Communications Preference I am happy to receive communications and to be kept up-to-date with business support opportunities including grant funding, local, regional and national initiatives and other relevant business support programmes, resources and events. Privacy DisclaimerAs this support is publicly funded by UK Government, in order to satisfy public sector data recording and monitoring obligations, we may share the information you provide on this form with the above organisations. By submitting this form, you consent to us retaining your details for the purposes of record keeping, supporting your business and sharing your details with the above organisations. Confirmations I declare that I have read and understand the Vibrant High Street Grant guidance and agree to comply with the various conditions and obligations; satisfy all the eligibility criteria as set out in the Vibrant High Street Grant guidance; meet any legal requirements or other regulations, which may relate to the operation of my business, for example, Environmental Health, Planning; understand that the Vibrant High Street Grant is discretionary and subject to the availability of funds. (There are no appeals); accept that any grant awarded must be repaid on request if any declaration is false; undertake to advise the Council of any changes of address, if I cease to trade, or of any other circumstances that may affect my right to grant assistance; give permission for the Council to undertake a credit worthiness check on my business; allow photos to be taken prior to and post any grant supported investment PLEASE NOTE – If invited to go to the second stage of the grant application you will be required to load the following to the grants portal:Business Current Bank Statement (one months)Business Public Liability and Employers Liability InsuranceAnnual Unaudited Financial Statements (See Financial Section) Relevant quotes 20948
