What is your full name?

 
What is your phone number?

 
What is your email address?

 
What is your Social Enterprise called? What date was your Social Enterprise established and registered?

 
Where is your Social Enterprise based? Please provide full address and postcode.

 
What products or services does your Social Enterprise deliver?

 
What Social Value does your Social Enterprise create?

 
What product / service are you looking to develop if you win the Challenge? How will you spend the money?

 
Why is this product / service innovative?

 
What additional Social Value will the product / service create?

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