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Digital Potential Application
Please complete the application form by 12pm (noon) on Tuesday 11th May.
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* Indicates required question
Your name
*
Your answer
Job title
*
Your answer
Organisation
*
Your answer
Email address
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
Charity or Social Enterprise registration number
*
Your answer
Number of staff:
*
1 - 9
10 - 19
20 - 39
40 - 99
100 - 499
500 +
Turnover:
*
Under £500,000
£500,000 - £1,500,000
£1,500,000 - £5,000,000
£5,000,000 - £15,000,000
Over £15,000,000
What is your organisation’s main focus? (max 50 words)
*
Your answer
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