Please complete this form to apply for the
Virgin StartUp StepUp Programme part funded by the European Union
Founder Information
First Name
Last Name
Email Address
Phone Number
Founder background
Is this your first business?
Yes
No
Have you raised funds successfully before?
Yes
No
Why should we select you to participate in StepUp?
What are you looking to get out of StepUp?
Scaling Programme ID
Business Information
Business Name
Business address (Please note the programme is currently only available for start-ups based in Greater London)
Town/City
County
Please select...
Aberdeenshire
Angus
Antrim
Argyll & Bute
Armagh
Ayrshire
Banffshire
Bath and North East Somerset
Bedfordshire
Berkshire
Berwickshire
Blaenau Gwent
Borders
Bridgend
Bristol
Buckinghamshire
Caerphilly
Caithness
Cambridgeshire
Cardiff
Carmarthenshire
Ceredigion
Cheshire
Clackmannanshire
Conwy
Cornwall
County Durham
Cumbria
Denbighshire
Derbyshire
Devon
Dorset
Down
Dumfries & Galloway
Dunbartonshire
East Ayrshire
East Dunbartonshire
East Lothian
East Renfrewshire
East Riding of Yorkshire
East Sussex
Essex
Fermanagh
Fife
Flintshire
Gloucestershire
Greater London
Greater Manchester
Gwynedd
Hampshire
Herefordshire
Hertfordshire
Highland
Inverclyde
Isle of Anglesey
Isle of Wight
Isles of Scilly
Kent
Kincardineshire
Lancashire
Leicestershire
Lincolnshire
Londonderry
Merseyside
Merthyr Tydfil
Midlothian
Monmouthshire
Moray
Neath Port Talbot
Newport
Norfolk
North Ayrshire
North Lanarkshire
North Somerset
North Yorkshire
Northamptonshire
Northumberland
Nottinghamshire
Orkney
Oxfordshire
Pembrokeshire
Perth & KInross
Powys
Renfrewshire
Rhondda Cynon Taff
Rutland
Shetland
Shropshire
Somerset
South Ayrshire
South Gloucestershire
South Lanarkshire
South Yorkshire
Staffordshire
Stirlingshire
Suffolk
Surrey
Swansea
Torfaen
Tyne & Wear
Tyrone
Vale of Glamorgan
Warwickshire
West Dunbartonshire
West Lothian
West Midlands
West Sussex
West Yorkshire
Western Isles
Wiltshire
Worcestershire
Wrexham
Post Code
Website
Elevator pitch: describe your business in one sentence
How long has your business been trading?
0 - 6 months
7 - 12 months
12 - 18 months
19 - 24 months
+2 years
If you have registered on Companies House, please can you provide your Company Registration Number.
What sector do you primarily operate in?
Please select...
Agriculture
Construction
Creative
Education
Finance and Accounting
Graphic Design
Food and Beverage
Health
Hospitality
IT and Telecoms
Leisure/Sport
Manual Services
Manufacturing
Social Enterprise
Tourism
Web
Other
Other (Please Specify)
What is your business model?
What is your core value proposition?
What do you see as your key point of differentiation?
Describe your target market/customer
What stage is your business at?
Idea Stage
Pre-Trading (MVP)
Just Started Trading (Post MVP)
Scaling Up
Number of Employees
0 - 5
5 - 10
10+
List any accomplishments you are particularly proud of
Key business challenges
Goals for the coming year
How much (if any) funding have you raised to date?
£0
£1k - £50k
£51k - £150k
£151k - £300k
£301k+
Source of existing funding
My own savings
Friends and Family
Angel Investor
VC
CrowdFunding
Other (Please Specify)
Other
How much are you looking to raise?
Not looking for funding
<£100k
£101k - £300k
£301k - £500k
£501k +
Have you applied for SEIS / EIS pre-approval?
Yes
No
How did you hear about this programme?
Virgin StartUp (Events, Social Media, Newsletter or Website)
London Growth Hub
Referral - if a referral, please tell us who to thank below
Other
Referral/Other
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Privacy Notice
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Equality and Diversity
We take equality and diversity extremely seriously and are committed to ensuring that our support is available and easy to access for
everyone. Therefore, we ask that you provide us with the following details in order to monitor our performance in this area.
Gender
Male
Female
Genderqueer/Non-Binary
Prefer not to say
Other (please specify)
Other
Ethnicity
African
Asian British
Asian Other
Black British
Black Other
Caribbean
Mixed
Multiple Ethnic Groups
White British
White Other
Prefer not to say
Other Ethnic Group (please specify)
Other