SMALL BUSINESS MANAGEMENT COURSE (DOC)

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                                                                                   File No: ______________________

                                                                                   Receipt No: 2011/ ___________

                                                                                   Payment Date:     ______________

                           START YOUR OWN BUSINESS PROGRAMME
               http://www.usspeedpost.com/retain-employees-how-to-save-health-insurance.html

                                                     Dates:

                                                     Time:
                                 Venue & Location: Fee: €70 per participant


                               APPLICATION FORM - In BLOCK CAPITALS please

Participant’s name:


Address:



Phone number:
Mobile number:
E-mail:
Website (if applicable):

CURRENT STATUS (please tick)
Have you already started in business?                                              No          Yes

If yes, what is the name of your Business, if any? (Optional) ______________________
Have you a reasonably firm business idea but have not yet started?                 No          Yes

Would you like to run your own business but have not firmed up your ideas yet? No              Yes

Are you currently:
1. Employed
2. Self employed / a sole trader

3. In a Business Partnership
4. In a Limited Company
5. In a Co-operative
6. Unemployed/back to work scheme
7. Home duties
8. Other.
Have you ever been self-employed before?                                           No          Yes

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                                     Start Your Own Business Programme – 2011
What is you most recent employment?


EXISTING BUSINESS
Describe your business




How long has your business been in existence? Months __________ /Years __________

BUSINESS IDEA
Please outline any start-up business idea/proposal you may have.




EXPERIENCE AND PREVIOUS TRAINING
What experience and previous training programmes have you received, which would assist you in the
success of your business?




YOUR GOALS
Explain in a few words what you want from this programme by finishing this sentence.
By the end of the programme I want to be able to……………..




YOUR LEARNING PRIORITIES

Which areas of this programme are you particularly interested in?

Please rate each area; 1 (high priority) to 3 (low priority)                        1, 2, 3
Starting your business
Legal issues
Preparing a business plan
Marketing
Researching the market
Finance
Funding sources

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                                     Start Your Own Business Programme – 2011
Basic bookkeeping
Sales
ICT

Are there any particular business topics that you would like to see addressed during the Programme?




Where did you hear of this Programme?
Avondhu Newspaper             
Duhallow Matters                                                Please return completed application form
Mallow Star/ Vale Star                                                    with fee of €70 to the:
Cork Advertiser               
Corkman Newspaper                                                     North Cork Enterprise Board
Evening Echo                                                              Blackwater House,
Referral through friend                                         Mallow Business Park, Gouldshill, Mallow
Referral through trainer                                                       Co Cork
NCEB Web Site                 
NCEB Training Brochure        
NCEB E-mail Promotions        
Other                         




SIGNED        ___________________________________       DATE           ______________




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                                 Start Your Own Business Programme – 2011

				
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