Network Name Date of Application COLLABORATIVE BUSINESS NETWORK PROGRAMME Application for Funding of a Collaborative Network (Phase 2) Legal Basis – Industrial Development (Northern Ireland) Order 1982 Commission Regulation EC 69 / 2001 Please note that failure to complete all sections of this document may result in it being returned to the applicant. Guidance Notes are available to aid completion of this application form. SIC Code (Office use only) 1 OUR MISSION To deliver expertise and resources to accelerate the creation and growth of business committed to and capable of being entrepreneurial, innovative and international. Our aim is to grow the Northern Ireland economy by helping business to compete internationally and by attracting new investment into Northern Ireland. We principally support businesses in the manufacturing and tradable services sectors. Invest NI offers the Northern Ireland business community a single organisation providing high-quality services and expert advice. We support businesses throughout their life cycle and across the full spectrum of their activity including research and development, people management, strategic development, e-business, energy management and export development. Beyond our support for specific businesses and business sectors we have a wider remit to help develop a culture of innovation and entrepreneurship in Northern Ireland. The Collaborative Network Programme (CNP) aims to support business-led networks to maximise collaborative opportunities in the development of innovative and/or new products, processes or services/ It provides businesses with the opportunity to focus on undertaking time limited collaborative initiatives whilst enabling them to leverage external expertise, share knowledge, resources, risk, build capability and capacity. The Benefits The benefits to your business may be varied depending on the nature and focus of the collaboration: increase in domestic sales; increase in export sales; access to knowledge; access to new markets; access to key infrastructure, e.g. pilot plants; access to new international partners for collaboration; access to innovative practices and processes; and raised profile for the business and the network. The collaborative network/ IIC must include: At least four NI private sector companies that are clients of Invest NI or other Northern Ireland based economic development bodies. The collaborative network/ IIC must also demonstrate they have (or have potential to) engaged with the relevant stakeholders including those organisations necessary to extend the value chain including, academia, trade associations and suppliers. This fund is not available directly to: further and higher education establishments other public bodies voluntary sector organisations However this does not exclude those bodies listed above (along with organisations based outside NI) from participating as a network member and or stakeholder and we would encourage academia to present applications in partnership with the private sector network. Funding is available for projects lasting between two and three years. 2 Section 1: Details of Collaborative Network 1. If the Network is a legal entity, please enter details in Table 1 below; otherwise please enter details on the network Lead Organisation in Table 2. Table 1 a. Name of Network b. Type of Legal Entity LLP – Yes/No Limited Company Yes/No Other – Please specify c. Name of Legal Entity d. Address (inc postcode) e. Tel/Mobile No f. Email & Website Where no legal entity for the network exits, Invest Northern Ireland requires that a Lead Company is nominated for payment of grant. This must be a private company and must be a member of the network. Table 2 2. Name of Lead Company/Organisation 3. Names of Network Member Companies/Organisations 1. 2. 3. 4. 5. 6. (Please extend, if necessary) (Please extend, if necessary) 3 Section 2: Details of Proposer and Collaborative Network Partners THIS SECTION MUST BE COMPLETED FOR EACH NETWORK PARTNER AND MAY BE SUPPLIED AS SEPARATE ANNEXES Network Name 4. a. b. c. Network Members Organisation Name Organisation Type Organisation Status (e.g. trading dormant) Company Registration Number 5. Contact Name (including title) 6. Contact Position (e,g, MD) Contact Email 7. Addresses (including postcode) 8. Telephone/Mobile Number 9. Website 10. Name of Company’s Development Advisor & Agency (if applicable) 11. Please provide a brief history of the business, describing any changes or significant developments. You should also provide a paragraph on each of the following to indicate the company’s: - Capabilities/Core Competencies Technical Specialisation Numbers of patent/licences held Numbers of research projects underway (both internal & in conjunction with an external agency/provider) This is not an exhaustive list, but Indicative of the baseline material required. If this information is not available at the time of application, it must be furnished within 3 months of an award. Please continue on a separate sheet if necessary and attach with reference in Annex. 4 Section 2: Details of Proposer and Collaborative Network Partners (Contd.) 12. Describe your current market, products, key customers and market share. 13. Please outline your company’s strategic objectives and how the proposed collaborative network project/s may support these objectives. 14. How will the project outcomes improve your capability and competitiveness? Please describe the expected benefits to the network & participant companies/ organisations e.g. business needs. 15. Is your company currently in receipt of other forms of public assistance? If so, please give details. 16. Has your company participated in forms of Collaborative Networking previously? Yes/No (If yes, please specify). 17. Have you worked with any of the proposers before? Yes/No. (If yes, please specify). 18. Are you aware of any other proposal with Invest NI, or other organisation, for Collaborative Networks in this field? 19. Do you have any registered bad debts/ enforcement judgements against you? Yes/No (If yes, please give details). Yes/No (If yes, please give details). 20. No. of Employees 21. Annual Turnover 22. Operating Profit 23. Year used for turnover, profit and number of staff calculations. 24. Parent Company Name (if part of a Group) 25. Group Employees & Annual Turnover 5 Section 3: Details on Supporting Documentation Applicants may include separate Annexes with this Full Application Form 26. Are you submitting Annexes with this Full Application Form? Yes/No If yes, how many? Please provide details in the table below Name of Annex Description of Annex 27. Who should Invest NI contact to discuss this application? 28. Has the Facilitator/Network Leader/Project Manager been identified? Yes/No (If yes, please give details). 29. Host organisation – Name of host organisation if different from lead company address (Please see Guidance Notes) 30. Please provide evidence of the host organisation’s capability to ensure that the project is supported with the necessary admin/financial and project management expertise. 6 Section 4: Proposed Project Abstract 31. Project Title 32. Abstract of Proposed Project (400 words maximum) 33. Proposed Project Start Date 34. Project Duration – Years/Months 35. What are the wider economic benefits that will accrue to the Northern Ireland economy as a direct result of the project? 7 Section 5: Outline of Proposed Project 36. Details of & Rationale for Proposed Project(s), including Aims & Objectives a. Project Description b. Key Aims/Objectives (Provide details in Proposed Work Programme Q40) c. Key Milestones (Provide details in project plan section) d. Risks What are the key risks involved in the project and how are these mitigated? Financial Risks Commercial Risks Technical Risks 8 Section 5: Outline of Proposed Project e. What is new and or innovative about the proposed collaborative project? 37. Please give evidence of the need/demand for this project, clearly demonstrating market failure and specify activities to address. If the collaborative network previously undertook a scoping study, please provide evidence gathered during scoping study. Attach relevant documentation in Annex. Clearly define market(s) opportunity (incl. identifying if the market(s) is/are growing, static or in decline) 38. Please demonstrate how the collaborative project is additional to the current activities of the network/participant companies. 39. Please state why you require funding from Invest NI & whether the project (in terms of scale and timescale) would proceed without this support. 9 Section 6: Proposed Work Programme PLEASE PROVIDE DETAILS IN RELATION TO KEY OBJECTIVES, KEY MILESTONES AND STATE THE PROJECT’S TARGETS (BOTH ANTICIPATED OUTCOME AND PROPOSED OUTPUTS) AND THE MEANS BY WHICH PERFORMANCE AGAINST THESE TARGETS WILL BE MEASURED AND REPORTED. (APPLICANTS SHOULD AS FAR AS POSSIBLE ATTEMPT TO QUANTIFY TARGETS). 40. Please define the Project Delivery Objectives in terms of SMART Objectives (this may be expanded to suit) Objectives Specific Measurable 1. 1. 1. 2. 2. 2. 3. 3. 3. 4. 4. 4. Achievable Realistic Time-Bound 1. 1. 1. 2. 2. 2. 3. 3. 3. 4. 4. 4. 41. Project Organisation & Management – If possible please provide details of who will carry out the designated tasks and which collaborative partners will be engaged with the task. 10 Section 7: Financial Details 42. Details of all Project Costs Breakdown should include: Labour Costs - Facilitation £ - Support/Administration Staff £ Travel and Subsistence Costs (details of anticipated trips) £ Consultancy Costs (details of consultancy activities) £ Other Costs: these may include any other costs deemed appropriate to a given network on a case by case basis £ Industry Salaried Personnel or Cash contribution** £ Total £ £ **Salaried Personnel Costs: Salaried contribution must be calculated based on actual annual salary rate of the network member and can only be included if the member agrees to submit/sign off time sheets to demonstrate salaried hourly contribution. In all instances there should be a clear audit trail created for staff costs from timesheet to payroll record to payment by employer. 11 Section 7: Financial Details (contd.) 43. Details of ALL Funding Sources and Contacts for this proposal. Please complete the following table, giving details of all proposed sources of funding for this project. (Private/public sector, bodies, voluntary organisations, groups/trusts/banks/own income, generated/potential income, generated/own contributions in kind, others (please state)). Name, Address, Contact details Anticipated contribution by each organisation Salaried Contribution* Private Investment Funds Public Sector Source Status: Awaiting reply/received/ rejected Total Lead Organisation Partner 2 Partner 3 Partner 4 Partner 5 Partner 6 Partner 7 Partner 8 Total Please use an additional sheet to indicate the input from other network members Please specify the daily rate used for each individual contributing – see Guidance Notes 12 Section 7: Financial Details (contd.) 44. Total Project Cost – Overall (£) 45. Total Requested from INI Are the above costs inclusive of VAT? % Contribution by INI Other sources of funding YES/NO 46. Please provide a profile of estimated quarterly expenditure. (If needed, please use an additional sheet) 47. Is the network/lead company registered for VAT? If yes, can you reclaim VAT on all taxable purchases? If no, please provide further detail on your organisations VAT status 48. Has funding for this project been rejected by any other private sector/public sector organisation, sector bodies or voluntary groups? Yes/No If Yes, give details 49. How does the collaborative network plan to become self financing and or sustainable after the duration of the funding period has ended? 13 Section 8: Other Information 50. Does this project address social need? (See Guidance Notes) If so please demonstrate how. Yes/No? 51. Please describe any significant environmental impact the project might have. 52. Please include any other information that may be relevant to your proposal. 14 53. Declaration by Applicant I declare that the information in this application is correct and consent that Invest Northern Ireland reserves the right to discuss this application with other funding agencies/bodies/relevant organisations and listed contacts. I acknowledge the right of Invest Northern Ireland to seek further information before making a decision on this application. Signed Date Position The application may be submitted by e-mail to the address below. An original signed copy of this application must be submitted to the Invest Northern Ireland address marked for the attention of Collaborative Networks Team, Business Improvement Services, in order for the proposal to be validated. Please note that failure to complete all sections of this document may result in it being returned to the applicant Invest Northern Ireland, Bedford Square, Bedford Street, Belfast, BT2 7ES T: +44 28 9069 8100 F: +44 28 9043 6536 E: BISinfo@investni.com W: www.investni.com 15 54. Declaration by Other Network Members I declare that the information in this application is correct and acknowledge that I have read, understood and agreed the content of this application. I furthermore state my full support for this application. Network Member Print Name Signature 16