Business Enhancement Program Grants Step 1 of 5 20% Applicant DetailsName of person filling in this form* First Last Postal address* Street Address Address Line 2 City State Postal Code Email* Phone*Business DetailsBusiness trading name*ABN*Business address* Street Address Address Line 2 City State Postal Code Legal entity type*Sole TraderPartnershipTrustCompanyCo-operativeIndigenous corporationOtherOther entity type*Please attach your Certificate of Registration or Incorporation or equivalent documentation* Drop files here or inc. evidence that you are currently applying for an ABN Size of business*Self-employedMicro-scaled (up to 4 employees)Small (5-19 employees)Medium (20-199 employees)Large (200 and over employees)Type of industry*Agriculture/aquaculture/fishing (growers, farmers)Supportive businesses in the primary industryManufacturingMiningBuilding & ConstructionTransport, postal & warehousingWholesaleRetail tradeHealth care, personal care and social assistanceRental, hiring & real estateInformation, media and telecommunicationsTourism operators/travel agenciesFood/beverage/dining servicesArts and recreation servicesAccommodationOther (please specify)Other - please define*What are the main areas of your business?(please choose any that applies) Agriculture/aquaculture/fishing Manufacturing Mining Building and Construction Transport, postal and warehousing Wholesale Retail trade Health care, personal care and social assistance Rental, hiring and real estate Information, media and telecommunications Tourism operators/travel agencies Food/beverage/dining services Arts and recreation services Accommodation Other Other entity type*Provide a brief overview of your business*Do you currently have any outstanding debts with the Yorke Peninsula Council?*YesNo Project DetailsProvide detailed information about your project*(project title, key activities, timelines, milestones, location, outcomes, etc.)Grant FundingType of grant or support*Quick Response (simple, low-cost, quick-actioned projects)Start Up (setting up a new business)Expansion (expanding or diversifying an existing business)What kind of assistance are you applying for?*CashNon-cash supportBothCash Funding DetailsWhat is the quick response funding for?*Training or conference feesMentoring programMarketing / PromotionPurchase of goods or materialsOtherQuick response funding other - please describe*What is the start up funding for?*Waiving of fees associated with development Applications, environmental health inspections etc.Relocation costsRent reliefCouncil rates reliefPurchase of goods or materialsTraining or conference feesMentoring programAdvertising / Marketing / PromotionOtherStart up funding other - please describe*What is the expansion funding for?*Purchase of new infrastructure, machinery etc.Recruitment of new staffWaiving of fees associated with development applications, environmental health inspections etc.Relocation costsRent reliefCouncil rates reliefPurchase of other goods or materialsTraining or conference feesMentoring programAdvertising / Marketing / PromotionOtherExpansion funding other - please describe*Value of funds requested*Budget Breakdown Please fill out the following budget breakdown sheet for the activity, listing all anticipated income and expenses.Income descriptionIncome amount Total Income Expense description*Expense amount* Total Expenses Income less Expenses (this should be $0.00) Please attach any quotes, costings or similar documentation*Non-Cash SupportWhat are you seeking support with?Planning / Development adviceSeeking other grant opportunitiesLocal knowledge, contacts / connections or demographic informationMarketing advicePolicy adviceHR / Recruitment adviceRisk / WHS adviceFinancial / Accounting adviceOtherSeeking support Other - please describe Additional DetailsIs this request contingent on any funding from other sources (e.g. Federal or State Government grants)?YesNoPlease provide funding details in this table*Funding bodyName of grantAmount requested Why do you need Council’s support for this project?*What are the expected outcomes of this request for your business?*How will this funding / support benefit the broader Yorke Peninsula?*How will you mitigate the risks associated with the project?Please complete an entry for each risk you have identified Risk Description Level of Risk Treatment / Controls Responsible person Edit Delete There are no Entries. Add Entry Maximum number of entries reached. How do you demonstrate the project’s commitment to sound environmental principles?* Supporting DocumentationPlease attach your insurance Certificate of Currency* Drop files here or Please attach your Certificate of Registration or Incorporation or equivalent documentation(or evidence that you are in the process of applying for an ABN) Drop files here or Business plan, feasibility studies and risk assessment plan (if any)* Drop files here or Recent End of financial year statements (preferable audited)* Drop files here or Other financial information such as draft budgets, cash flow projections Drop files here or Please attach any other documents that will support your application Drop files here or Sign-offPrivacy We will treat your information with sensitivity and where required, will treat your information as commercial-in-confidence. However, please be aware that Council is subject to certain legislative requirements, including public disclosure in accordance with the Local Government Act 1999.I have read and agree to the terms of this program as contained with the Business Enhancement Program Guide*The Business Enhancement Program Guide can be found hereYesNo