Application form

Name *

First name

Last name
Email*
Phone
Company/Organisation*
Position/ Job role
Evidence of two years of audited statement of account for £100,000 for last two years?*
Describe the challenge(s) faced by your business*

Please express these clearly and concisely, identifying where possible the expertise or contribution you need in order to be able to innovate in response to the Covid-19 -related challenges you are facing.