Wed,22Feb2012

Expression of Interest Form

Please complete the Expression of Interest Form below. Entrepreneurs are requested to demonstrate their business model, and milestones they would hope to achieve during their time at the Rubicon Centre.

Alternatively download the Form by Clicking here...

Name(s) of Project Promoter (*)

Please type your full name.
Company Name (*)

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Full Address (*)

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E-mail (*)

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Telephone (*)

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Mobile (*)

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Number Currently Employed (*)

Please tell us how big is your company.
Size of Unit Envisaged (*)

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Brief Summary of Proposed Business/Project (*)

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Qualifications of Project Promoter(s) (*)

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Experience of Project Promoter (*)

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Reasons for applying for a Unit in the CIT Innovation Centre (*)

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Any Additional Requirements (*)

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