Training Application Form

1
Thank you for your interest in the EU-funded Blockstart training programme for North-West European SMEs in the sectors of health, logistics, agrofood and supply chain.

The application will take about 10 to 15 minutes. We recommend that you first read the Applicant Guidelines and this explanation before completing the form. In case you have any questions, please get in touch by emailing blockstart@oostnl.nl.

As we have limited places available, we will be evaluating submissions on the following questions.
2
E-mail* This field is required.
3
Please tell us more about yourself* This field is required.
4
The training aims to support SMEs. Are you an SME as defined by the European Commission?Find the definition here
YESNO
5
Is your core business within one or more of the following sectors?
Health
Agrofood
Logistics
Supply chain
Other
6
Did your SME receive more than a total of €200.000 of De Minimis state aid between 2019 and 2021?If you did not receive any subsidy or funding from your national or regional government, you will not run into any problems. For more information about De Minimis aid, please click here. Once you have submitted your application, you will be requested to send us a self-declaration by email.
Yes
No
I don't know
7
Is your SME in receivership or under liquidation?Receivership covers enterprises placing their assets in the custodial responsibility of others in case of bankruptcy.
YESNO
8
Are you willing to invest time to take part in the workshop?Please answer with Yes or No and, if applicable, add restrictions on participating the workshop/training.
Huge
Large
Normal
Small
Ok
Ok
9
Please provide a brief overview of your current collaborations with other organisations to enhance innovation. Does your company collaborate on a national or international level? How is collaboration implemented within your organisation?
Huge
Large
Normal
Small
Ok
Ok
10
Have you collaborated with any organisation that are in a different country before? Do you have the capability of collaborating internationally?
YESNO
11
If yes, please explain further.
Huge
Large
Normal
Small
Ok
Ok
12
What do you think are the benefits for your company of joining this programme?E.g. opening new markets, new business models, business growth.
Huge
Large
Normal
Small
Ok
Ok
13
What are your blockchain-related needs?In which areas of your business do you see potential for blockchain solutions?
Huge
Large
Normal
Small
Ok
Ok
14
What are your expectations of the training programme?What would make the training programme successful?
Huge
Large
Normal
Small
Ok
Ok
15
Collection and use of applicant's data* This field is required.For more information on the EU's GDPR policy, please click here.
I confirm that all given information in this application is accurate and correct.
I confirm that I am authorised to sign on behalf of this company.
I agree to share my data with the Blockstart project knowing that they strictly follow the EU's GDPR privacy policy.
I agree that all communication material from Blockstart events and the results of all programmes activities can be used for external communication, reporting to the funding bodies or research activities. This explicitly excludes confidential personal and technical content.
Should be Empty: