The COVID-19 Industry Response Program application form

Personal details
Business details
(Please describe your business in a couple of paragraphs)
(How long has it been in operation, etc)
How many employees do you have? *
(e.g. number of emails you have in your mailing list)
(Facebook, Instagram, Twitter etc.)
Supporting evidence

Please attach any presentations, brochures, business plans etc. that you feel would support your application.

(doc, docx, pdf, jpg or png file type only. Max 8MB file size)
(doc, docx, pdf, jpg or png file type only. Max 8MB file size)
(doc, docx, pdf, jpg or png file type only. Max 8MB file size)
Other information
Validation

 

Confidentiality

All information provided will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information in your application in order to handle your submission. In accordance with privacy laws, personal information about you contained in your enquiry will not be used for any other purpose. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting the Innovation and Entrepreneurship team via email at accelerator@latrobe.edu.au The La Trobe University privacy policy can be viewed at: www.latrobe.edu.au/privacy/