NEIS (New Enterprise Incentive Scheme)

NEIS (New Enterprise Incentive Scheme)

Business Questionnaire

Please take your time to complete this questionnaire, providing as much detail as you can. Information provided will form part of our assessment process when reviewing your application for entry into the NEIS Program.

Please return this form, together with all supporting documents, to Sarina Russo Job Access (Australia). All information provided will be treated as strictly confidential and managed in accordance with the Privacy Act 1988 as amended (CWLTH).

About you:

Name
Contact Number
Email
Job Seeker ID
Signature
Date

Am I eligible? You must meet ALL of the eligibility criteria (both Personal and Business eligibility criteria) as detailed below.

§  Registered with a JSA or DES Provider
§  At least 18 years (on business commencement)
§  Able to participate in training and work the required hours in the business*
§  Not be a undischarged bankrupt
§  Not have received NEIS Assistance for a similar business activity
§  Not have received NEIS Assistance in the previous three years
* fulltime or less for those with an assessed partial capacity to work/reduced participation requirements. / §  Not currently operating on a commercial basis
§  Independent, capable of withstanding public scrutiny, and lawful
§  Assessed as commercially viable
§  Not based on the purchase or takeover of an existing business
§  Not competing directly with existing businesses
§  Established, located and operated solely within Australia

Tell us about your business idea:

Provide a summary of your business idea (if you need additional space please include as an attachment):

What is your motivation for starting this business?

Where are you planning to operate your business (and do you have permission or a lease to operate the business at this location, do you need to find premises)? Have you checked your local councils working from home guidelines?

How are you going to make money:

Provide a description of your 4 main products and/or services, then complete the tables for each one. (If you have fewer products/services then only complete the necessary tables):

Pricing – how much will you be charging, calculate on individual units or services, (see definitions on the next page):

Product/ Service OneName :
$
Selling Price
Less Costs / Materials
Labour Costs
Other
GROSS PROFIT = Price – Costs
/ Product/ Service TwoName:
$
Selling Price
Less Costs / Materials
Labour Costs
Other
GROSS PROFIT = Price – Costs
Product/ Service Three Name:
$
Selling Price
Less Costs / Materials
Labour Costs
Other
GROSS PROFIT = Price – Costs
/ Product/ Service Four Name:
$
Selling Price
Less Costs / Materials
Labour Costs
Other
GROSS PROFIT = Price – Costs

Definitions

Selling Price: The price that you sell the product or service for (excluding GST)

Materials: The cost of the actual materials in creating this product or service

Labour: Even though you may be doing all the work initially, if you had to pay someone else how much would you pay someone else to make this product or deliver this service?

Tell us what you know:

How are you going to sell your products and/or services? (E.g. wholesale, online, market stalls, retail premises etc):

Who are your customers, as specifically as you can describe your customers, who they are, where do they live and how they look for the product or service you are offering.

How do you know that people will buy your product or service? Have you completed any test marketing?

What licences/permits/memberships do you need for your business – Federal, State and Local regulatory requirements, Industry/Association memberships (e.g. RSA, Food Licence, Electrical Licence/Permit; Therapeutic Association Membership)? And do you have them yet:

Do you have an active ABN – if yes, provide your ABN and date of registration:

Have you registered your business name – if yes, please provide details:

Do you have an existing website – if yes please provide web address

Are you ready to start:

What equipment do you have to start your business:

What are your start-up costs and how are you going to pay for them (e.g. business registration, insurance, equipment, stock, marketing etc):

Do you need to borrow funds to start your business? If you do, you will need to show evidence that you can obtain the start-up funding before you can be accepted.

Do you have the required skills and/or qualifications to legally operate your business (please provide copies):

Do you have, or do you need a current Working with Children Check or Police Check (please provide copies):

Recognition of Prior Learning (RPL):

If you have previously undertaken any relevant small business management training you may be able to apply for RPL. Please let us know the details of your previous courses for further discussion at your interview:

Yes, I would like to apply for RPL. My previous training/course details are:

(Please supply certified copies of your qualifications)

Where to from here:

Return this completed form with copies of your qualifications, licences/permits, CV and all supporting documents to your Sarina Russo Job Access – NEIS Consultant or email it to