Apply Now Pitch Challenge | Business Navigator Western Downs

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APPLICATION FORM

All applications are to be submitted using the online form below. The online form cannot be saved, so to help with planning and preparing your Pitch Challenge application you may wish to download a printable version first.

If you have any questions please email Suzie Wood suzie@navigatorwesterndowns.com.au

Download form

Your details

First name *

Email *

Surname

Address

Contact phone number

Please select your closest locality:

Gender

Other

Prefer not to say

Do you identify as being an Indigenous Australian?

Yes

Where did you hear about the Business Navigator Pitch Challenge?

Which category are you entering?

Your current business (if applicable)

Business Name

ABN

Trading As

Registered business address

Date of commencement of trading

No of full time equivalent employees as at 1 Jan 2020

Please outline your current business

Web Address

Your business idea

Project Title

Which industry does your business idea relate to?

If other, please specify

What is the product / process / service you are commercialising?

Market potential

What is the problem / opportunity / market need that your product / process / service will address?

Who is / are your target market(s) and why?

What market research (if any) have you undertaken in order to identify / validate your target market?

Have you undertaken research to identify similar ideas or competitors that are already on the market?

Yes

Why would customers buy from you instead of your competitors?

2020 Activities

If you won the Pitch Challenge, what activities would you undertake to progress your business idea in 2020?

If you won the Pitch Challenge, what is your goal for your business idea by the end of 2020?

Declaration

By ticking this box, I certify that:

I am authorised to submit this application.
The information I have supplied in this application is true, accurate and not misleading to the best of my knowledge.
I have reviewed and accepted the standard terms and conditions detailed on the Business Navigator Western Downs website.
I have reviewed and accepted the terms of the privacy policy below.

Marketing Consent

If selected as a semi finalist or finalist in the Business Navigator Pitch Challenge 2020 competition, I agree to participate in marketing activities for Business Navigator Western Downs and its partners, Shell's QGC Business and Toowoomba and Surat Basin Enterprise. This may include participating in social, print and televised media activities.

I agree to represent their brands in a positive light and by doing so to help to increase community awareness of Business Navigator Western Downs.

By ticking this box, I acknowledge that I have read, understood, and agree to participate in marketing activities as outlined in this application form.

Privacy Policy

This application form includes personal information as defined by the Australian Privacy Principles (APP) and the General Data Protection Regulation (GDPR). We may use this information in the following ways:

In communications from the Business Navigator Western Downs team.
To share with judges to inform the selection of semi finalists and finalists.
If you are selected as a semi finalist, to include in promotional materials including the Business Navigator Western Downs website, printed materials, media releases and social media activity.
To connect you with individuals who may be able to help progress your business idea.
To share with host organisations for registration at events you attend.
To form part of our anonymised statistics on the impact of Business Navigator Western Downs.

Please contact us via email at if you have any questions, or if you do not wish your information to be used in any of the ways listed above. For more information please refer to our full Privacy Policy.

Thank you for your application.

Applicants selected to progress to the semi finals will be contacted by email and phone by 5pm, Tuesday 28 January.

Applicants who are not selected to progress to the semi finals will be advised by email.