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Great British Scaleup Programme 2018 - Nomination Form

Thank you for registering your interest in the TechMarketView Great British Scaleup Programme.

The next Workshop Event will be held in London on Tuesday 6th/Wednesday 7th March 2018.

To qualify, you must be a privately held, UK-headquartered tech SME.

Preferred candidates will usually have at least 20 employees, a minimum £3m annualised revenue run rate, and revenue growth of at least 20% p.a. over the past three years. But most importantly, you should have clear potential to significantly accelerate growth.

Please complete this Nomination Form as fully as possible. We aim to advise successful applicants at least three weeks ahead of the next scheduled GBS Workshop Event.

Unless you advise otherwise, we will roll over your nomination to a susbequent Workshop Event if you are not selected this time.

There is no fee required to apply for or participate in a Great British Scaleup Event.

If you have any further queries please contact gbs@techmarketview.com

 
COMPANY INFORMATION

Company name *
(As registered at Companies House)
 

Company Number *
(As registered at Companies House)
 

HQ address *
 

HQ phone number *
 

Website address *
 

Twitter handle
 

LinkedIn page
 

Facebook page
 

Year founded *
 

Company description *
(Brief description of your company's products/services and key target markets.)
 

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

Other
(If 'Other', please briefly explain)
 

Number of employees *
(Select from the drop-down list the number of full-time equivalent headcount in your company )
 

Company ownership *
(Are any shares in your company listed on a public stock exchange (Yes/No)?)
 

External investors *
(Have you received any funding from external investors (i.e. excluding current and former employees, family and friends etc) in the past two years?)
 

SCALE-UP POTENTIAL

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

Headline revenue growth *
(What was the headline revenue growth in your most recently recorded financial year?)
 

CAGR *
(What was the compound annual growth rate (CAGR) of your headline revenues over the past three financial years?)
 

Recurring revenues *
(What proportion of your revenues do you consider as 'recurring', i.e. under periodic payment (typically monthly or quarterly)for a pre-contracted duration?)
 

Non-UK revenues *
(What proportion of your revenues currently derive from outside of the UK?)
 

EBITDA margin *
(What was your EBITDA margin in your most recently reported financial year?)
 

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)
 

Scale-up ambition *
(Why do you think this company has significant scale-up potential?)
 

RESPONDENT INFORMATION

First name *
 

Surname *
 

Position/Title *
 

Contact phone number *
 

Contact email address *
 

Relationship
(If you are not on the management team, please explain your relationship to the company being nominated)
 

Roll over nomination? *
(If your nomination is not accepted for the next scheduled Great British Scaleup Programme Workshop Event, would you like us to roll it over to the next?)
 

PLEASE PRESS GREEN 'SUBMIT FORM' 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 TechMarketView and official partners and sponsors to assist in the selection of applicants to participate in the Great British Scaleup programme. TechMarketView and official partners and sponsors may also contact applicant companies to apprise them of their respective products and services. Information will not be passed to other third party organisations without permission from the applicant company.

 

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