<p> Application form</p><p>Newham Council is awarding grants to support people starting up or developing micro-enterprises in the borough. These grants are between £500 - £2,000 and can be awarded to: </p><p> Local disabled entrepreneurs  Entrepreneurs offering health and social care services to older or disabled people in Newham</p><p>If you need help or advice to complete your form or would like an alternative format please contact us and we will be happy to help. Complete all relevant sections to make sure your application is assessed as quickly as possible.</p><p>Ensure you read the Micro-enterprise Project Grant guidance notes before completing the application form.</p><p>Please return the completed form by email to: [email protected] or by post to: Lisa Taylor Micro-enterprise Project Grant London Borough of Newham, Newham Dockside 1000 Dockside Road, London E16 2QU</p><p>Completed by…………………………………………………………………</p><p>………………………………………………………………………………….</p><p>Organisation (if applicable)…………………………………………………. ………………………………………………………………………………….</p><p>Your contact details ……………………………………………………………….</p><p>……………………………………………………………………………………….</p><p>……………………………………………………………………………………….</p><p>Any communication support e.g. documents in larger font </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>1) Brief description of proposed micro-enterprise, including why you believe the enterprise will be successful, where the enterprise will be located, who the customers will be and any market research carried out</p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>………………………………………………………………………………………. …………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>2) Provide details of any relevant experience which may assist in your development and running of your micro-enterprise.</p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>………………………………………………………………………………………. …………………………………………………………………………...... </p><p>3) Indicate the amount you are requesting and how the grant will be spent.</p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>4) Provide information regarding other support you have engaged with, including funding opportunities.</p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>………………………………………………………………………………………. 5) Provide any other relevant information which supports your application.</p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>……………………………………………………………………………………….</p><p>6) Please tell us how you heard about the Micro-enterprise Project Grant.</p><p>……………………………………………………………………………………….</p><p>…………………………………………………………………………...... </p><p>………………………………………………………………………………………. Publicity From time to time the Micro-enterprise Project will undertake activities featuring applicants to promote the work of the fund, including articles in local papers and/or the Newham Mag. If your application is successful, we may contact you to ask your permission to include some details about how the grant has supported the development of your enterprise.</p><p>Declaration I hereby certify that the information contained in this application is correct and in accordance with the best information available to me, and I undertake to provide such additional information as Newham Council may require to consider or verify the application. I further confirm that if the application is successful, in full or in part, I will comply with the Micro- enterprise Project Grant terms and conditions.</p><p>Name………………………………………………………………………………..</p><p>Date…………………………….. Signature………………………………….</p><p>Please Note Information in this form will be used for assessment and monitoring purposes. Details will be recorded on a database, which will be shared with other funders in the council and to gather general information that may be made public.</p><p>Please return the completed form by email to: [email protected]</p><p>Or by post to: Lisa Taylor Micro-enterprise Project Grant London Borough of Newham, Newham Dockside 1000 Dockside Road, London E16 2QU</p>