Devon and Somerset
SSE Start Up Intensive 2018
Application form
The SSE Start-Up Intensive is a three day introduction to starting a social enterprise aimed at individuals with a social enterprise idea who want to find out more, or social enterprises in their first six months of trading.
Please try to answer all questions as fully as possible, ensuring that you adhere to the maximum word count in each section. If you don’t know how to answer, please write “N/A” in the box rather than leaving the box blank.
Feel free to contact us to ask questions at
YOUR PERSONAL DETAILSPlease complete fully.
First Name(s): / Surname(s):
Your preferred name (if different from above):
Your project name OR one line description:
Home address
Postcode:
Date of Birth:
Phone(daytime): / Mobile:
Email:
- ELIGIBILITY CRITERIA
If this section is not complete, your application will be deemed ineligible.
1. / I am committed to attending the full programme, which is a commitment of 3 days
4. / I am aged 16 years old or above.
5. / I am a resident and eligible to work in the UK.
6. / My project has a social or environmental purpose.
7. / My project will reinvest the majority of any surplus into the project or for social/environmental purpose.
8. / If my project winds up or closes, any remaining money or assets will be redistributed for social or environmental purposes – not to individuals.
You must be able to answer ‘NO’ to the following questions:
10. / Are you currently declared bankrupt or under a Debt Relief Order? / No
11. / Are you barred from acting as a company director or charity trustee? / No
12. / Do you have an unspent conviction for fraud? / No
- HAVE YOU OR ANYONE FROM YOUR PROJECT PREVIOUSLY APPLIED TO THE SCHOOL FOR SOCIAL ENTREPRENEURS?
If ‘YES’, please provide some details.
Maximum 150 words
By writing ‘YES’ in this box, I agree to the use of my information, including information relating to my gender, race or ethnic origin, in the manner described on page 13 of this document and as more fully set out in the Data Protection Notice at
- ABOUT YOUR PROJECT
- Please write a brief summary about your project.
- Is your project hosted by a larger organisation?
- Have you already set up as an organisation?
If ‘NO’ you are still eligible to apply. Please go straight to question 4.
If ‘YES’ please answer the following questions.
i)What is your organisation’s current legal structure?
For example: Charity, Community Interest Company, Company Limited by Shares, Unincorporated Association, etc.
ii)What date was it registered or established?
10. Where is, or where will be the base of your project? Where does it, or where will it deliver services?
11. Do you know the postcodes for the main delivery sites for your project?
You may not have these yet, but if you do, it will help us to find out if you are delivering your services in a disadvantaged community.
To find a postcode, this link might be useful:
1. / 2. / 3.
- ABOUT YOU
19. Please tell us why you want to develop this project?
- What are your main reasons for setting up or being involved in this project?
- What motivates you?
- What led you to this point?
- Do you have any experience of the issues you are seeking to address?
21. What do you hope to get out of the Devon & SomersetSSE Start Up Intensive?
Maximum of 150 words
EQUAL OPPORTUNITIES
We ask you to provide your Equal Opportunities details. You are not required to provide this information and can select to ‘opt out’. However, it is helpful for our future development and marketing that you provide this information.
Gender / Male / Female
Other (please specify)
Ethnicity – How would you describe your ethnic or cultural origin?
White British / Black British / Indian
White European / Black Caribbean / Pakistani
Irish / Black – African / Bangladesh
Asian British / Black – other / Mixed Race
Chinese / Other(please specify)
Disability – Do you have a disability as defined by Disability Discrimination Act 1996*
*The definition of a disability used by the DDA is ‘a physical or mental impairment which has a substantial and long-term adverse effect on a person’s ability to carry out normal day to day activities’.
YES / NO
I wish to opt out of answering the Equal Opportunities details.
IMPORTANT NOTES
To submit your application email your application form to
Applications for the programme need to be with us by Sunday 14th January 2018
DATA PROTECTION
To process your application, SSE will collect and use personal information provided by you in this form or separately, or which we otherwise lawfully obtain about you. We may use this information
- In the selection process for the programme
- For equal opportunities monitoring
- Managing your participation in the programme
- Sharing and promoting your story and the story of your social enterprise
- Other lawful reasons
THANK YOU FOR YOUR APPLICATION
The Devon & SomersetSSE Start Up is run as part of the Heart of the South West Enhance Social Enterprise Programme with the support of Devon County Council and the European Regional Development Fund.
The School for Social Entrepreneurs Dartington
Lescaze Offices, Shinners Bridge, Dartington, Totnes, Devon. TQ9 6JE