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Capita Scaling Partner Future of Workplace Learning - Application Form

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Thank you for your interest in the Capita Scaling Partner Future of Workplace Learning event, in association with the TechMarketView Innovation Partner Programme.

In order to be considered you must first apply to attend a pitch session by completing this application form and submitting it by 6pm Friday 4th October 2019. The pitch session will be held at Capita's headquarters in London on Wednesday 6th November 2019. We will advise you if your application has been successful by Friday 18th October.  After we receive your application we may ask you to submit further information about your company to assist our evaluation.

To be eligible to apply for the pitch session, you should:

  • be the Founder or CEO/MD of a privately held UK tech company
  • have an innovative solution for the future of workplace learning
  • have a solution that is at least MVP stage and has been successfully deployed to one or more large clients
  • have ambitions to scale your business and generate substantial revenues in the future

There is no fee required to apply for or participate in the pitch session.

This form is most easily completed on a laptop or tablet though will also work with small form-factor devices. Please note that response boxes with a little triangle in the bottom right can be expanded to whatever size you need by clicking and dragging on the triangle. You can then insert multiple lines of text. Response boxes without a triangle are single line, for short amounts of text only.

You can find terms and conditions on the TechMarketView website and further detail about the Capita Scaling Partner programme on the Capita website.

For any further information please contact tipp@techmarketview.com.

For the purposes of GDPR, details of our privacy policy can be found here.

 
COMPANY INFORMATION

Company name *
(As registered at Companies House)
 

Company Number *
(As registered at Companies House)
 

HQ phone number *
 

Website address *
 

LinkedIn page
 

Twitter handle
 

Year founded *
 

Company description *
(Brief description of your company's products/services)
 

Primary revenue source *
(Select from the drop-down list the primary source of your company's revenues)
 

Primary revenue source (explanation)
(Please add any explanation if needed)
 

Number of employees *
(How many people currently work for your company and how many of them are freelance contractors? )
 

Company control *
(Which of the following options best describes ownership of your company?)
 

Company control (explanation)
(Please add any explanation if needed)
 

Funding status *
(Please advise on funding to date and if applicable, when and how much funding will be required at next round)
 

MARKET FOCUS

Proposition focus *
(Please indicate which of the following capabilities best categorises your technology or proposition. Please tick all that apply)
 

Proposition focus (Explanation)
(If you ticked Other in the prior question please explain here)
 

Sector focus *
(Please tick your current active sectors)
 

Sector focus (Explanation)
(Please add any further explanation of your previous answer if you need)
 

Fastest growing sector *
(Which of these is your FASTEST GROWING sector?)
 

Geographical focus *
(Please tick your current active geographies)
 

Geographical focus (explanation)
(Please add any explanation if needed)
 

Fastest growing geographical region *
(Which is your FASTEST GROWING geographical region?)
 

PARTNERSHIP POTENTIAL

Revenue run rate *
(What is your CURRENT annualised headline revenue run rate?)
 

Projected annual revenues in 2022 *
(What is your forecast for your annual revenues in 2022?)
 

Projected EBITDA in 2022 *
(What is your forecast for your annual EBITDA in 2022?)
 

Projected TCV & length in 2022 *
(What do you think the total contract value (TCV) and contract length will be for a new client you sign up in 2022?)
 

Largest client *
(Who is your largest client and what is the current revenue run rate you derive from them?)
 

Intellectual property *
(What proportion of your revenues do you consider to be attributable to your own intellectual property (IP))
 

Obstacles to growth *
(What are the main obstacles to doubling your revenues in the next 12-24 months? Please select up to three)
 

Other
(If Other, please explain)
 

Ambition *
(Why do you think Capita should partner with your company?)
 

RESPONDENT INFORMATION

First name *
 

Surname *
 

Position/Title *
(Please note that this application should only be completed by the company Founder or CEO/MD.)
 

Contact phone number *
 

Contact email address *
 

Source *
(How did you hear about the Capita Scaling Partner Digital Disruptor event?)
 

Source (Other)
(Please advise how you heard about the Capita Scaling Partner Digital Disruptor Event if not from one of the sources above.)
 

PLEASE PRESS THE GREEN 'SUBMIT' BUTTON WHEN COMPLETE. If you do not see a confirmation screen, please scroll up and check that all mandatory fields have been completed and then press SUBMIT again.

The information in this form will be used by authorised TechMarketView and Capita personnel with a specific need to know to assist in the selection of applicants to participate in the Capita Scaling Partner Digital Disruptor Event. Applicant information will not be passed to third party organisations without permission from the applicant company.

 

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