Women’s Rural Entrepreneurship Network Application Form

The Women’s Rural Entrepreneurship Network is co-funded by the Government of Ireland and the European Social Fund as part of the ESF Programme for Employability, Inclusion and Learning (PEIL) 2019 - 2022.

Full name: (required)This field is required

Address: (required)This field is required

Email address: (required)Please enter your email addressPlease enter a valid email address

Phone number: (required)This field is required

Please tick the highest level of education you have attained to date. (required)Please tick a checkbox

Primary school Lower secondary school Higher secondary school Third level education Other (please specify)

If you selected ’other’ above, please specify here the highest level of education you have completed:

Please tick the box which best describes your current situation.

EmployedSelf-employedIn receipt of a social welfare paymentNot working and not in receipt of a social welfare payment

Have you already set up a business? (required)Please select a value

If you selected ’yes’ above, what is the name of the business and when did you start this business?

Please provide a summary of your existing business or new business idea and the product/service it provides:

What are some of the main challenges your business is facing/will face and what supports do you think would help to address them?

Permission to retain your personal data within Ballyhoura Development CLG to potentially notify you of relevant future supports.

Yes - I consent for Ballyhoura Development to retain my personal information for internal use and to contact me in the future regarding training, self-employment/employment supports or other opportunities. No - I do not consent to Ballyhoura Development using my personal information.

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