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Register with Digital Enterprise
Register with Digital Enterprise
The information that you provide will be used by Digital Enterprise to ascertain if your business is eligible for our support and what form(s) of support you qualify for. Please complete as fully as possible.
1 - Primary Contact
2 - Business Details
3 - Project Details
4 - Data Privacy & Confirmation
General
Please confirm that you are either the owner or manager of the business and are authorised to register the organisation with Digital Enterprise.
Primary Contact Details
Title
Mr
Miss
Ms
Mrs
Mx
Dr
Other
Other, please specify
Forename
Surname
Position / Job Title
Email
Telephone
Mobile
Previous Support Received
Have you received any funding from a public body (State aid/ De Minimis aid) over the past 3 years?
Total Value of State Aid Assistance in last 3 years (£)
Other Information
How did you hear about Digital Enterprise?
Digital Enterprise Advisor
Business Growth Manager
West Yorkshire Combined Authority
Your local Council (please let us know which one below)
Internet search
LinkedIn
Twitter
Instagram
Facebook
Word of mouth
Recommendation from supplier
Print online news/magazine (please give further details below)
Event (please give the name of event below)
Direct marketing (e.g. flyer/leaflet)
Other (please give further details below)
Other (please provide details)
Name of Business Growth Manager
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Equality & Diversity Information (optional)
We want to better understand who we are engaging with and hearing from. Effective monitoring of diversity characteristics is a legal requirement under the 2010 Equality Act and by asking these questions we can make sure our work reflects the diverse communities we serve. These questions are optional. If you choose to answer these questions you will not be identified by the information provided.
What is your sex?
Female / Woman
Male / Man
Prefer not to say
How old are you?
Under 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 - 84
Over 85
Prefer not to say
Is the gender you identify with, the same as your sex registered at birth?
Yes
No
Prefer not to say
How would you describe your ethnicity or ethnic background?
White - English, Welsh, Scottish, Northern Irish or British
White - Irish
White - Gypsy or Irish Traveler
White - Roma
White - Any other white background
Mixed/Multiple ethnic groups - White and Black Caribbean
Mixed/Multiple ethnic groups - White and Black African
Mixed/Multiple ethnic groups - White and Asian
Mixed/Multiple ethnic groups - Any other Mixed/Multiple ethnic background
Asian/Asian British - Indian
Asian/Asian British - Pakistani
Asian/Asian British - Bangladeshi
Asian/Asian British - Chinese
Asian/Asian British - Any other Asian background
Black/African/Caribbean/Black British - African
Black/African/Caribbean/Black British - Caribbean
Black/African/Caribbean/Black British - Any other Black/African/Caribbean background
Other - Arab
Other - Any other ethnic group
Prefer not to say
Do you have any physical or mental health conditions or illnesses lasting or expected to last 12 months or more?
Yes
No
Prefer not to say