Name of organisation

    Contact details, email & postal address

    Number of years trading

    What is the structure of your organisation eg charity, social sector etc

    Your name

    Your position

    Do you have decision & finance making powers for this project?

    Your contact details

    Brief paragraph of what you require funds for

    How much?

    How long ?

    What interest can you organisation pay on these funds?

    Do you have funds to contribute?

    If so state source(s)?

    Ideal start date for this new social venture?

    Is your social venture – local, regional or national?