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									UnLtd Advantage

Enquiry Form
UnLtd’s mission is to reach out and unleash the energies of people to transform
the world in which they live.
We call these people social entrepreneurs.

UnLtd Advantage is an investment readiness programme, operated commercially and
currently on a success-only fee basis, by UnLtd Ventures. UnLtd Advantage aims to
bring high-potential social enterprises to investment readiness to enable them to
access the finance they require, and to help social investors identify high-potential
opportunities more effectively.
We only work with established social enterprises that demonstrate the following
characteristics:
        Proven, scalable social business model
        Primarily UK beneficiaries
        Cash flow neutral/positive (preferable)
        Good management
        Seeking funding of £250k upwards
If you are a social enterprise and think there could be an opportunity for us to work
together, please fill out this form and return to advantage@unltd.org.uk. Please note
that in submitting this form you are verifying that all this information provided is, to
the best of your knowledge, accurate. Should you be accepted onto the Advantage
programme, verification of all information submitted will take place during the Due
Diligence process. At this point, please do not send any further supporting
information.

1. CONTACT DETAILS

 Title

 First Name

 Surname

 Email

 Address

 Postcode

 Telephone
2. ORGANISATION CONTACT DETAILS

Organisation Name

Website

Address

Postcode

Telephone



3. ABOUT YOUR ORGANISATION

Sector                        Art & Culture                (   )
                              Children/Youth               (   )
                              Disabled                     (   )
                              Education                    (   )
                              Elderly                      (   )
                              Employment                   (   )
                              Environment                  (   )
                              Ex-Offenders                 (   )
                              Health                       (   )
                              Mental Health                (   )
                              Refugee/Asylum Seeker        (   )
                              Science                      (   )
                              Single Parents               (   )
                              Social                       (   )
                              Sport                        (   )
                              Technology                   (   )
                              Transport                    (   )
Specific area of
involvement
Describe your operational
activities.

(maximum 100 words)

Years in Operation            1-2 years                    (   )
                              2-3 years                    (   )
                              3-4 years                    (   )
                              > 4 years                    (   )
Legal Structure               Registered charity           (   )
                              Company Ltd by Guarantee     (   )
(please mark all that apply   Company Ltd by Shares        (   )
with an ‘X’)                  Community Interest Company   (   )
                              Public Ltd Company (PLC)     (   )
                              Combination of above         (   )
                              Not incorporated             (   )
What is the social impact
of your organisation?

(maximum 100 words)

Are there primarily UK
                              Yes                     No
beneficiaries?
Is your organisation’s
business model replicable     Yes                     No
or scalable?


4. CURRENT FINANCES

Annual Trading Income (a)
Annual Grant Income (b)
Annual Expenditure (c)
Annual Profit /Loss (a+b-c)
Do you have a business
                               Yes                    No
plan?


5. YOUR FUNDRAISING REQUIREMENTS

How much funding do you       £100-£250                    (   )
require?                      £250k-£500k                  (   )
                              £500k-£1m                    (   )
(please mark with an ‘X’)     £1m+                         (   )
                              Not sure                     (   )
When do you require the       Within 3 months              (   )
funding?                      Within 6 months              (   )
                              Within 12 months             (   )
(please mark with an ‘X’)     Flexible                     (   )
                              Not sure                     (   )
What type of funding are      Equity Participation         (   )
you looking for?              Quasi-Equity (revenue        (   )
                              share/royalties)
(please mark all that apply   Loan                         (   )
with an ‘X’)                  Mixture of the above         (   )
                              Flexible                     (   )
                              Not sure                     (   )
Investors you have spoken
/ secured investment with
already.
Brief summary of what the
investment is to be used
for.

(maximum 100 words)
 How did you hear about           UnLtd award winner              (   )
 us?                              UnLtd website                   (   )
 (please choose all that apply)   Event                           (   )
                                  Flyer                           (   )
                                  Press coverage                  (   )
                                  Word of mouth                   (   )
                                  Referral                        (   )
                                     By whom?__________________

 Have you ever applied for
                                  Yes                   No
 an UnLtd Award?
 If so, which?


Please note that this information will be used confidentially by UnLtd Advantage.
However, in the event that we identify an opportunity to effect an introduction to
investor(s), we may share this information, in confidence, with those investors

Many thanks for your registration. Please email this completed form to
advantage@unltd.org.uk and we will get back to you shortly.

								
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