qNomics Programme - Application Form

Hello,

To join the qNomics Programme this year, please be sure to fill out the form to the best of your ability.

If you have have any question, please be sure to contact the qNomics team by visiting our website.

Thank you!

Title

First Name *

Last Name *

Email Address *

Phone Number

Full Address

Postcode *

Company Name *

Business Sector/Industry *

How did you hear about us? *

Tower Hamlets Newsletter Greater London Authority QMEnterprise Newham Council Business & Enterprise Other

Please tick one or more of the following that apply to your business. My business needs are focused around: *

Financial Planning Business Planning Marketing Planning/Support Funding Support

Please provide a brief overview of (a) your business and (b) your business need(s) with reference to the previous question : *

Please choose one of the boxes below in answer to the following statement: I can confirm that I am seeking financial guidance on behalf of: *

A non-profit making social enterprise with a turnover of less than £2 million per annum A profit making organisation with a turnover of £25 000 or less per annum A small business with a turnover of less than £10 000 or less per annum A start-up business

I can confirm that I have read the Client Page on the qNomics website and fully understand what I can expect from the programme. *

Yes

Thank you for filling in our application for, we hope to respond to you as soon as possible,

Kind regards,

The qNomics Team