BBC Dragons' Den Application Form 2013

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Application form for BBC Dragons' Den 2013.

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BBC Dragons' Den Application Form 2013

  1. 1. You should give as much information as necessary to enable us to assess yourbusiness idea but should not disclose any information which is to be treated ascommercial in confidence. You must not include details on any application orprocess which may be patentable unless you have secured the patent or this ispending – if you do disclose this it may invalidate any patent application you latermake.DRAGONS’ DEN APPLICATION FORMNAME:Age: Date of Birth:Home: Email:Work:Mobile:Home Address: Company Address (if relevant):Present Occupation: Marital Status:Previous Jobs (pleaselist):BUSINESSName of business:Describe your idea inone line:Amount of investmentrequired:% share in exchange:Executive summary:In the ExecutiveSummary, you have thechance to sell yourselfand your idea, and givea clear andcomprehensive outlineof your business orproduct. What problemdoes your idea solve?What stage are you atwith patent orcopyright protection?Where are you up towith prototyping ortesting? Describe sales,if your business is 1
  2. 2. trading. Please supplyany additionalinformation you feelmay be useful.Do you have a writtenbusiness plan?OTHER INFOHave you been onTelevision before?And have you appliedto appear on any otherbusiness programmes?(If yes, please givedetails)Where did you mostrecently hear about theshow?Have you applied to theshow before?Please use this sectionto tell us about yourself.Do you have any criminal convictions? (Please give details whether spent or otherwise).Do you give your permission for the BBC to carry out a full Criminal Record Bureau (CRB)check to verify the above details?Have you ever been bankrupt or been disqualified from being a director of a company? (Pleasegive details).ENTREPRENEUR AVAILIBILITYRecordings take place in Salford. Should you be successful in being selected for the series, youwill be required to attend 1 recording day which could be a weekday. (Note: we will do our bestto accommodate you, but please be aware that it may not be possible to include you in the seriesif your availability is limited.)Please indicate any dates that you will definitely not be available for filming: 2
  3. 3. MONITORINGThe BBC is committed to equal opportunities to all, irrespective of race, colour, creed, ethnic ornational origins, gender, marital status, sexuality, disability or age.Note: The BBC will only use your personal details for the purpose of selecting contestants for theDragons’ Den series. Your information, in particular your ethnic origin and disability data, will also beused for statistical monitoring of Dragons Den applicants. Your information will be treated in thestrictest confidence by the BBC and individual data will not be provided to any other party. For furtherinformation, please read the BBCs privacy policy at www.bbc.co.uk/privacy/.ETHNIC ORIGIN ASIAN/ASIAN BRITISH BLACK/BLACK BRITISH CHINESE MIDDLE/NEAR EASTERN MIXED ETHNIC GROUP WHITE BLACK OTHER ____________________GENDER DISABILITY MALE Do you consider yourself to have a disability? YES FEMALE NOADVERTISINGTo help us with our research would you please state where you found out about the applicationprocess for Dragons’ Den (please tick as appropriate): TV APPEAL RADIO (Please state name of station) _________________ PRESS ADVERT (Please state publication) ______________ FLYER OR POSTER (Where did you see it?)______________ BBC WEBSITE EMAIL BBC BIG SCREEN ANNOUNCEMENT WORD OF MOUTH OTHER (Please specify)_____________________________ SIGNATUREI confirm that the information given in this form is, to the best of my knowledge and belief, trueand accurate. Please sign and print name below.SIGN PRINT 3
  4. 4. We regret that BBC members of staff and their immediate families are not eligible to apply and all applicants must be 18 or over.RETURNSPlease return the completed form ASAP by post or email to:EMAIL: dragonsden@bbc.co.uk POST: DRAGONS DEN 5th FLOOR, BRIDGE HOUSE MEDIACITY UK SALFORD M50 2BHUnfortunately, due to the high number of applicants only those people who are short listed will becontacted. However, we do consider all applications carefully.All information provided is subject to and will be treated in accordance with Data Protection Act1998 and will not be used for any purpose other than assessing applicants to take part in the namedBBC programme. 4

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