Social Business Wales Application - Private Business (EO)

Social Business Wales: Application For Support with Employee Ownership

Cwmpas provides intensive, one-to-one support to businesses which have ambitions to move from a traditional business model to employee ownership. We’ll provide you with the specialist support to make it a reality.

Our team of advisors are experts in:

Visioning and growth planning
Stakeholder engagement
Legal structure advice and incorporation
Board development
Business planning
Financial planning

Additional advice on areas such as intellectual property and international trade support will be provided through Business Wales. Please complete the application form below. In line with our net zero ambitions, Social Business Wales delivery is mostly conducted online with some face-to-face delivery. Please let us know if you are unable to access online meetings.

Online Support

Developed by Cwmpas and Welsh Government, employeeownershipwales.co.uk provides further information about employee ownership options and case studies. This support is provided by Cwmpas across the whole of Wales through the Social Business Wales Operation; it is funded by the Welsh Government.

YOU MUST COMPLETE THE CAPTCHA AT THE END OF THE FORM IN ORDER FOR THE FORM TO FEED THROUGH TO THE TEAM.

Please ensure that you complete all fields that are set to (Required).

SBW Application - Private Business (EO)

Business name(Required)

Registered Name (if different)

Sector

VAT Number

Company number(Required)

PAYE number

Number of Shareholders

Percentage of shareholding held

Name of main contact(Required)

Role within business

Email address(Required)

Telephone number(Required)

Business website (if applicable)

Address line 1(Required)

Address line 2

Address line 3

City

County(Required)

Postcode(Required)

Geographical areas of trade

(Please select the control key on your keyboard to select more than 1 area)

Small/Medium Enterprise (less than 250 employees)(Required)

Number of employees (headcount)(Required)

Previous Year's Turnover(Required)

Previous Year's Profit(Required)

Please provide a brief description of your business (max 255 characters)(Required)

0 of 200 max characters

Does the business have a focus on tackling climate change?

Are you interested in becoming a net zero* social enterprise? If Yes, we can help you with this

*Net zero is understanding what your carbon footprint is, halving it by 2030 and being at zero by 2050. And reporting each year on your progress.

Monitoring Data- used in line with the Data Protection Statement noted below. Please provide details of the board, to the best of your knowledge:

Number of current directors(Required)

Number of Male directors

Number of Female directors

Number of Non-binary directors

Number of Black, Asian or minority ethnic directors

Number of Directors from areas of deprivation (if known)

The Welsh Index of Multiple Deprivation (WIMD) is the official measure of small area deprivation in Wales and is designed to identify those small areas where there are the highest concentrations of several types of deprivation.

Number of directors who consider themselves disabled

Either the social model definition of disability which the Welsh Government uses and/or the definition in the Equality Act 2010.

Number of directors who are neurodiverse

Number of directors who are carers

Number of directors who are care leavers

Number of directors who are LGBTQIA

Number of proposed directors who understand Welsh

Number of proposed directors who speak Welsh

Number of proposed directors who read Welsh

Number of proposed directors who write Welsh

Number of proposed directors who are aged 16-18

Number of proposed directors who are aged 19 -24

Number of proposed directors who are aged 25-44

Number of proposed directors who are aged 45-64

Number of proposed directors who are aged 65-74

Numbers of proposed directors who are aged 75+

How did you hear about Social Business Wales?(Required)

Are you applying for or currently being supported by a WCVA loan or grant?

Data Protection Statement: The information you have given us on this form will be used in accordance with the UK General Data Protection Regulations and for the following purposes: to enable us to provide you with our services; to inform our funders and project delivery partners about the organisations or individuals we have supported. The information will be kept securely and will be kept no longer than necessary.

You can read our full data privacy statement at https://cwmpas.coop/privacy-policy/

You may change these preferences or update the information at any time. To do this or for any information about our data privacy policy, please call 0300 111 5050.

Can we contact you by phone, email or post in order to tell you about other Cwmpas activities that may be of interest to you?(Required)

Yes

• Can we share your details with other similar organisations so they can send you information by post, telephone or email which may be of interest to you? (Required)(Required)

Yes

• We may be able to get you additional support from Business Wales; can we share this form with colleagues from Business Wales and ask them to contact you?(Required)(Required)

Yes

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Cwmpas is a registered society under the Co-operative and Community Benefit Societies Act 2014, number 24287R. Registered office: Spark, Maindy Road, Cardiff, CF24 4HQ.

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