Invest-to-Grow---Expression-of-Interest-revised

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EXPRESSION OF INTEREST FORM
Invest to Grow Office Use Only
Reference Number
Invest to Grow Appraisal Officer
Date EOI Received
Date Assessment Completed
Decision
Name of Company
Postal Address
Post Code
Legal Status (including Company
Registration No. if applicable)
Principal Activities
Invest to Grow Office Use Only
Appraiser’s Comments
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Contact Details
Name
Position
Telephone Number
Mobile
Fax
Email Address
Postal Address
(If different from above)
Post Code
Number of Employees
Worldwide
Current Annual Turnover £
Date of last Accounts
Name of Project
Location of Project
(Town/Village)
Post Code
Description of Project
Describe in general terms the
nature of the investment, its
purpose and the benefits it will
bring to the business in terms of
capability (including with respect to
R&D and innovation), markets,
turnover, profitability and job
creation. Describe any Planning
Consents that you may require or
have obtained.
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Anticipated Start Date
Anticipated Completion Date
When do you expect to
(DD/MM/YY)
complete expenditure on your
Project?
Invest to Grow Office Use Only
Appraiser’s Comments:
Summary of Project Costs
Description
Costs
Total Project Cost £
Will the project create
new jobs that will be
sustained for at least 3
years?
Number of New Jobs
Please delete as appropriate.
YES / NO
Describe how the project will
create new jobs
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Level of £ Funding
How much funding do you think
you need? What will it pay for?
Need for RGF support
The Invest to Grow programme is a
combination of loan and grant
funding and is a fund of last resort.
Please outline why you need
support. The Strategic Investment
Panel which makes funding decisions
will determine whether a company is
offered a loan or grant, or a blend of
both.
The Fund is intended to be a recirculating finance scheme to ensure
sustainability beyond the duration of
Regional Growth Fund. Therefore
applications for loans will be judged
favourably compared to grants.
Expression of Interest Eligibility checklist
Is your project and the jobs to be created
located in the East Midlands?
Yes

No

Is the amount requested over £15,000 and
is your overall project cost over £50,000?
Yes

No

Have you secured the match funding
required?
Yes

No

Are you an SME? i.e. with less than 250
employees and with turnover of less than
or equal to 50m Euro?
Yes

No

Signature
If completing electronically a name will suffice.
Date Form Completed
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Invest to Grow Office Use Only
Appraiser’s Comments:
Decision
Date:
We would like to share your application with University Colleagues and Partner Organisations to determine
whether there is other support, aside from Invest to Grow funding, we could offer your company. Please tick
here if you would prefer your information not to be shared. We will not disclose any financial or commercially
sensitive information without your prior agreement.
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