Somerville Ecovillage Enterprise Application Form


Potential entrepreneurs should complete and submit this form about their enterprise for submission to the Core Enterprise Group for evaluation and feedback.

The Complete Somerville Enterprise Application Kit - which provides detailed information including a flow chart of the enterprise start up process at Somerville - can be downloaded by clicking here!

You can expect a response from the Enterprise Group within one month of submitting the form. It is suggested that you put your any long text answers in a word document on your computer and retain this for your records.If something happens to your internet connection mid way through filling out the form and you have not submitted the form your data will may be lost. Cut and pasting it from another document would be the best way to go.

Questions about the form should be directed to Paul Antonelli: paul@greenedge.org
 
Personal Details
First name:
Surname:
Address:
Suburb:
State:
Postcode:
Telephone (work):
Telephone (home):
Telephone (mobile):
Fax:
Email:
Internet:
Do you intend to live at Somerville?
If so when do you plan to live there?
What are you passionate about?
What is your current employment status?
Have you been in business before?
Business Partner Details (if applicable)
First name:
Surname:
Address:
Suburb:
State:
Postcode:
Telephone (work):
Telephone (home):
Telephone (mobile):
Product or Service Details
Business type ?
Years of experience in this type of Business?
Business description and overview
Location of enterprise
Ownership
What and where is your envisaged target market?
Where will you be living while preparing for commencement of operations?
Where will you be living during the first 12 months of operations?
Where will you be living thereafter?
Envisaged commencement of enterprise?
Amount of external funding required prior to commencement of operations (if not self-funded)?
Amount of external funding required during first 12 months of operations?
Amount of external funding required thereafter?
Total estimated number of workers in enterprise prior to commencement of operations?
Total estimated number of workers in enterprise at commencement of operations?
Total estimated number of workers in enterprise during first 12 months of operations?
Total estimated number of workers in enterprise thereafter?
What are the benefits to the Somerville Ecovillage and the community of your enterprise?
Based on your current knowledge please provide estimates of the following:
Annual sales potential of business?
Payroll $ per year?
Investment $ needed?
Any additional information about enterprise you would like to share?
Community Resources required from Somerville for your business:
Access to expertise and business support
Access to funding and finance
Access to land on site
Access to premises and buildings
Use of the Somerville Ecovillage name
Access to website support and presence
Declaration of Intent
I do solemnly declare that I intend, to the best of my abilities, to meet my obligations
under the Somerville vision, principles, and guidelines, both current and future as the
case may be.
Additional Feedback
Comments