Application Form

Entry Nomination

Name: Address:

Postcode: Telephone:

The purpose of this award is to

• Encourage, reward and support innovation and creativity amongst local entrepreneurs
• Identify innovative products, services, processes and new ways of working that have been developed in North Oxfordshire
• Profile the benefits of this innovative and creative activity to the local economy
• Provide meaningful and valued assistance to the commercial success of the innovation that has been developed

Applicant Details

Entrepreneur / Company Name: Address: Postcode: Telephone: Mobile: Email:

Classification

New Start Business Existing Business Entrepreneur Other* * If other: If a business, please state date commenced trading: Nature of business or innovation: *Please give, in no more than 250 words, a brief outline of the innovation and its benefits. In addition please state the value of the anticipated award to the business