Eligibility Assessment

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Eligibility AssessmentFill out the form below in order to let you know for which subsidy schemes you are eligible to apply

First Name

Last Name

Title

Company Name

Email

Work Phone

Mobile

Fax

Address

City

Zip Code

1. Services

Retail Trade

Wholesale Trade

Manufacturing/ Transformation

Other Activities

2. Main Activity; that is the activity that has the greatest contribution to your turnover

S3. Do the data relate to an existing business, or Not?

Job Title

3. Date of Incorporation, according to the certificate of incorporation

4. Average Number of employees during last year: Record the number of employees based on full-time employment equivalent, as declared to social insurance services and recorded in the audited accounts for the year.

5. Average Number of employees one year ago: Record the number of employees based on full-time employment equivalent, as declared to social insurance services and recorded in the audited accounts for the year.

6. Average Number of employees two years ago: Record the number of employees based on full-time employment equivalent, as declared to social insurance services and recorded in the audited accounts for the year.

7. Select the option that applies, for last year, according to the results of the audited accounts of the business.

8. Select the option that applies, for the previous year, according to the results of the audited accounts of the business.

9. Select the option that applies, two (2) years ago, according to the results of the audited accounts of the business.

10. Have you been approved, during the last three (3) years, to receive Subsidy through any Subsidy Scheme?

Through how many Subsidy Schemes have you been approved, during the last three (3) years, to receive Subsidy through any Subsidy Scheme?

Record the title of the Subsidy Scheme, the Year of Approval and the Amount (in Euro) of funding approved as subsidy.

10A. Record the title of the Subsidy Scheme

Year of Approval

10A. Select Year of Approval

Amount (in Euro) of Funding approved as subsidy

10A. Record Amount (in Euro)

10B. Record the title of the Subsidy Scheme, the Year of Approval and the Amount (in Euro) of funding approved as subsidy.

10B. Record the title of the Subsidy Scheme.

Year of Approval

10B. Select Year of Approval.

Amount (in Euro) of Funding approved as subsidy

10B. Record Amount (in Euro).

10C. Record the title of the Subsidy Scheme, the Year of Approval and the Amount (in Euro) of funding approved as subsidy.

10C. Record the title of the Subsidy Scheme.

Year of Approval

10C. Select Year of Approval.

Amount (in Euro) of Funding approved as subsidy

10C. Record Amount (in Euro).

10D. Record the title of the Subsidy Scheme, the Year of Approval and the Amount (in Euro) of funding approved as subsidy.

10D. Record the title of the Subsidy Scheme.

Year of Approval

10D. Select Year of Approval.

Amount (in Euro) of Funding approved as subsidy

10D. Record Amount (in Euro).

10E. Record the title of the Subsidy Scheme, the Year of Approval and the Amount (in Euro) of funding approved as subsidy.

10E. Record the title of the Subsidy Scheme.

Year of Approval

10E. Select Year of Approval.

Amount (in Euro) of Funding approved as subsidy

10E. Record Amount (in Euro).

10F. Record the title of the Subsidy Scheme, the Year of Approval and the Amount (in Euro) of funding approved as subsidy.

10F. Record the title of the Subsidy Scheme.

Year of Approval

10F. Select Year of Approval.

Amount (in Euro) of Funding approved as subsidy

10F. Record Amount (in Euro).

10G. Record the title of the Subsidy Scheme, the Year of Approval and the Amount (in Euro) of funding approved as subsidy.

10G. Record the title of the Subsidy Scheme.

Year of Approval

10G. Select Year of Approval.

Amount (in Euro) of Funding approved as subsidy

10G. Record Amount (in Euro).

If you have been approved to receive subsidy, for additional Subsidy Schemes, Record here, for each of the additional Subsidy Schemes approved, the title of the Subsidy Scheme, the Year of Approval and the Amount (in Euro) of funding approved as subsidy.

Please Record any additional Information

11. Please Record the Subsidy Scheme of your interest, if you are aware of any

12. Please record any needs you are interested to cover through potential Subsidy Schemes

A. Organisation (Management, Control, Planning, Financial Restructuring etc)

B. Technology

C. Infrastructure (Equipment etc)

D, Trainings

E. Personnel/ Hiring

F. Promotion/ Sales/ Marketing

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