Contact information
LCCC LMP Self Employed Support Programme Application Form
First Name
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Surname
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Address *
Postcode
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Email *
Phone number *
Do you live in the LCCC Council area (proof of address will be required before an offer of funding is granted)
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Are you eligible to work in the UK?
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What is your current employment status? (You are not eligible for the programme if you are employed over 16hrs per week)
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Required

Are you currently in receipt of employment related benefits?

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What is your business idea (less than 20 words)
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Please tell us a bit about yourself – including your work history, and what has inspired you to start this business?

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Please tell us how you would like to spend this £500 bursary and what the money will help you achieve?

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Where did you hear about the programme
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If approved to participate on the programme we will appoint a business mentor to work with you. Do you consent to us passing the details to the mentor?
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