Peer Network Expression of Interest Form

Thank you for your interest in the Dorset Business Mentors Peer Network scheme. To apply for a place please complete the form below. We look forward to hearing from you.

Please complete all fields.

Business Name

Name

First Name

Last Name

Role

Phone

(###)

###

####

Website

http://

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Company Registration Number

Business Sector

Turnover Last Financial Year

Eligible businesses need to be turning over £100k or more.

Current Number of Employees

How many years has the business been in operation for?

Eligible businesses need to have been established for 12 months or more.

Do you currently export goods or services to outside the UK?

Yes

If you don’t currently export goods or services outside of the UK, are you looking to start exporting in the next 12-24 months?

Yes

Where did you hear of the Peer Network programme?

Please briefly describe your business aspirations for the coming 12 months

Please outline a real and pressing issue currently facing your business

Personal data - By ticking this box, I consent to Dorset Business Mentors securely recording the details given above for the purpose of providing business support. The data will not be disclosed to third parties (other than Dorset LEP who fund the programme and selected DBM mentors and trainers) and will be deleted 6 years after your learning/mentoring is finished (to comply with data retention regulations).

GDPR Statement

Yes

Email address - By ticking this box, I consent to Dormen using my email address to advise me of relevant business support information such as training workshops etc. Your email address will not be disclosed to third parties (other than selected Dormen mentors). You can unsubscribe from this at any time.

Use of email

Sign me up!

No thanks