Staffordshire Succeed and Grow – Eligibility Form - Stoke on Trent Staffordshire Growth Hub

Business Details

Name of Business*

Trading Address*

Street Address Address Line 2 City Post Code

Confirm Business Size*

Nature of business/main business activity*

Incorporation date or date started trading

No. of employees*

Applicant Name*

Prefix First Last

Telephone*

Email*

As an official representative of the business, I declare that:*

I am happy for my data to be shared with partners for monitoring purposes, and the purpose of the scheme
I, as the applicant, declare that the information given in this expression of interest form is true and accurate to the best of my knowledge and belief. By ticking this box I accept all of the above statements.
I understand that the Succeed and Grow Scheme is subject to approval and availability of support packages.
I am aware that false declarations may invalidate my application and that any service awarded must be repaid on request if any declaration is false.
A copy of my Companies House registration document or UTR registration document if applicable have been uploaded (see below)

Please click on the link to our Privacy Notice below to read how your data will be stored

Please tick the box to confirm that you are happy for us to contact you to offer other programmes of support in the future, either from the County Council or associated delivery partners.

Phone

This field is for validation purposes and should be left unchanged.