Application Form

How to get involved

If you are interested in joining Scaleup North East, please make sure your meet the key criteria and fill in this form. We will be in touch in the coming weeks.

Contact name *

The contact name field is required.

Job title

Email *

The email field is required and must be a valid email address.

Contact tel. number *

The contact tel number field is required.

Company name *

The company name field is required.

Address line 1 *

The address field is required.

Address line 2

Town/city *

The Town/city field is required.

County *

The county field required.

Postcode *

The postcode field is required.

Company tel. number

Website *

The website field is required.

Description of the activities of the company *

Please provide a brief description to explain the background to the business

The description of company activities field is required.

What business sector do you operate in? *

If possible please provide the SIC Code stated within Companies House records

Business sector is required

Date incorporated (DD/MM/YYYY) *

The date incorporated field is required.

Estimates business trading start date (DD/MM/YYYY)

Company registration number

Total no. of employees (FTEs) *

The Total no. of employees field is required.

Legal status of the company

Does the company run from more than one site?

Annual turnover (£)/O last full financial year *

The annual turnover field is required.

Estimated annual turnover in current financial year *

The estimated annual turnover field is required.

Does your business own more than a quarter of any other companies or does any other company own more than a quarter of yours? *

This field is required.

Name of Company and Company Number *

This field is required.

State Aid support provided to your business (£) *

This field is required.

*NB - if your business is more than 25% owned by another organisation, please include the State Aid support provided to that business.

Total (£)

Please give an outline of your company growth ambitions (max 500 words)

Please indicate how many additional full time equivalent quality jobs you are likely to create as a result of scaling and by when.

(Quality jobs defined as managers & directors; senior officials; professionals and associate professional and technical occupations)

Where did you hear about us?

The information provided in this form will be used to support an assessment of eligibility and suitability on the Scaleup North East programme which is operated by RTC North. The programme is part of the North East Growth Hubs’ business support provision and is funded with investment from the North East Local Enterprise Partnership and growth hub and from the North East Regional Development Fund. Growth hubs are required to share their business support data with the Department for Business, Energy and Industrial Strategy (BEIS) for research and evaluation purposes only. RTC are required to share business support data with the Department for Homes, Community and Local Government (DHCLG).

The use of the Scaleup North East Programme micro/small business participant’s business information to be shared with BEIS/DHCLG may include matching to other data sources to understand more about organisations similar to Scaleup North East micro/small business participants, as well as general patterns and trends. The participant’s business data will not be published or referred to in a way which identifies an individual or business.

If you have any questions in relation to how the information provided will be used and in particular how any personal data will be processed and disclosed, please contact [email protected].