Ignite Initiative - Application Form
Applicant Information
Full Name
*
Preferred Name (if different)
Date of Birth (Must be 18+)
*
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Month
-
Day
Year
Date Picker Icon
Email Address
*
example@example.com
Mobile Number
*
Format: (000) 000-0000.
Residential Suburb & Postcode
*
Business / Concept Details
Business or Concept Name
*
Trading Name (if applicable)
*
Business Status (select one)
*
Pre-launch / concept stage
Early-stage business (trading less than 2 years)
Emerging entrepreneur (planning to launch)
ABN Status
*
Not yet registered
Registered (please provide ABN below)
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ABN (if applicable)
*
Planned or Actual Launch Date for your business
*
Primary Industry / Sector (select one)
*
Accommodation Services
Administrative & Support Services
Agriculture, Forestry & Fishing
Arts, Recreation & Cultural Services
Automotive Sales & Services
Beauty, Wellness & Personal Services
Community, Charity & Not-for-Profit Organisations
Education & Training
Electricity, Gas, Water & Waste Services
Financial & Insurance Services
Health Care & Social Assistance
Hospitality & Food Services
Information Media & Telecommunications
Manufacturing
Mining & Resources
Pet & Animal Services
Professional, Scientific & Technical Services
Public Administration & Safety
Rental, Hiring & Real Estate Services
Retail Trade
Trades, Construction & Cleaning Services
Transport, Postal & Warehousing
Wholesale Trade
Other (please specify below)
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Business Overview - Please complete all answers below
About your Business or Idea
Describe your business or idea, the problem it solves, and who it serves
*
max 200 words
Target Market
Who are your primary customers or clients?
*
max 150 words
Vision & Growth
Future Growth
Where do you want this business to be in five years?
*
max 200 words
Current Challenges
What are the biggest challenges or barriers you are currently facing in starting or growing this business?
*
max 200 words
Fit & Impact Statement
Why Ignite?
Why are you applying for the Ignite Initiative, and how would the program help you move your business forward?
*
max 300 words
Success After 12 months
What would success look like for you by the end of the Ignite Initiative?
*
max 150 words
Development & Support Needs
Which areas would you most like support in? (Select all that apply)
Leadership
Financial Management
Marketing & Branding
Sales & Growth
Operations & Systems
Governance & compliance
Confidence & decision-making
Other (please specify)
Mentorship Expectations
What would a successful mentoring relationship look like for you?
*
max 150 words
Marketing & Visibility Support
If selected, which marketing support would benefit your business most?(Select up to 3)
Branding or design
Photography or video
Website or digital upgrades
Digital Advertising
Printing or signage
Public Relations/media
Community Impact
3. How would you use the mentorship, marketing support, training, and Chamber access?
*
max 150 words
Video Submission
12. Business Introduction Video
Please provide a link to a short video (maximum 4 minutes) introducing:
You and your team
Your business or idea
Your motivation and vision
(Video may be filmed on a phone. Creativity encouraged.)
File Upload
*
Browse Files
Drag and drop files here
Choose a file
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Declaration & Consent
By submitting this application, I declare that:
The information provided is true and correct
I acknowledge that providing false or misleading information may result in my application being withdrawn or, if selected, termination from the Ignite Initiative
I understand that the Ignite Initiative provides
non-cash, in-kind support only
I acknowledge that participation is subject to acceptance of the
Ignite Initiative Terms and Conditions
Applicant Name
*
Signature
*
Date
*
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Month
-
Day
Year
Date
Need help with your application?
chamberconnect@tamworth.org.au
(02) 6766 4810
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