- Expression of Interest Form-
 
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To find out whether your organisation is eligible for support, please make sure you have first completed the self-assessment form.

If you have answered YES to all the self-assessment criteria, please complete this short online form. This information helps us to understand where there might be a fit between SVA and your organisation and gives us some additional background before we get in touch.

We anticipate that it will take you approximately 30 minutes to complete this form. To ensure that is this not a time intensive process for you, we have set maximum character limits for most questions.

Once you have submitted this form, SVA will contact you within one month to provide feedback.

Please note that all fields are mandatory
Organisation Details
Organisation name:
Area of focus: (e.g. Indigenous, youth, homeless)
Legal status:
Year established:
Street address:
City/town:
State:
Postcode:
Country:
Website:
Contact
First name:
Last name:
Contact title:
Preferred phone:
Work phone:
Mobile:
Email:
Fax:
Business Activity
1) Briefly describe your organisation, including its purpose or mission, main activities, number of staff, size and involvement of board, details of bankers and professional advisers, etc.
Character count:
2) Please summarise the anticipated social impact of the proposed social enterprise, focusing on the demographic characteristics of the population employed by your organisation (please note that employment of persons excluded from the Australian labour market is a key criteria for funding).
Character count:
3) Briefly describe the social enterprise and the activities that give rise to your request for investment and support.
Character count:
4) Financial details
Briefly describe your current financial position, summarising the nature and extent of any contributions being made by other funders e.g. percentage of income generated, funding sources etc. and any funding /resources you have put into/will put into the development of the organisation.
Character count:
5) Barriers / opportunities
Please outline the current barriers to growth or opportunities to be developed by your social enterprise.
Character count:
Support
6) In-kind support
Please outline your ‘wish-list’ for non-financial support for your business – this may include business planning advice, IT support, marketing, legal, accounts etc.
(Please note, any investment made by SVA will be matched with in-kind support). Investment Request (if appropriate).
Character count:
7) Would you consider a loan?
8) How much are you looking for now?
9) How much have you received in the past and what form of investment was it (e.g. grant, loans etc)?
Please mention any other organisations you have approached for funding
Character count:
Other
10) Where did you hear about us?
11) Have you attended a SVA Social Enterprise Workshop or are you registered to attend one in the near future?
(Please answer Yes or No in the text field. If Yes, please also provide details).
Character count:
12) Have you been in contact with somebody from SVA?
(Please answer Yes or No in the text field. If yes, please provide their name).
  Please note preference will be given to applicants who have attended or are due to attend a Social Enterprise workshop.
Please note that all fields are mandatory. If this form does not 'Submit', please scroll up and make sure that all of the fields are complete. Empty fields will be marked in red.
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