EnterpriseSTART Application Form
Please Choose Your Preferred Programme Location (*)
LIT - Limerick
LIT - Thurles
Date of Application
Participant Name
Participant Address
Contact Number/Mobile
Number
Email Address
Where did you hear about the Enterprise Start Programme?
Press
Newspaper/Magazine
Website
Word of Mouth
Give brief details of your career/employment history to date. (*)
Page 1 of 2
Other
What has made you consider setting up your own business? (*)
Give details of your proposed product/service
References – Please provide references from two contacts (one personal reference and one
employment/education reference):
Name:
Employer:
Address & Phone Number
LIT reserves the right to directly contact these referees
Please return completed application to:
Gillian Barry
Enterprise Development and Business Liaison Manager
LIT
Moylish
Limerick
Or email completed application to Gillian.Barry@LIT.ie
Page 2 of 2
Position/Title