READY

TO
PITCH?
Application Form
This application form includes personal information as defined by the General Data
Protection Regulation (GDPR). We may use this information in the following ways:

• In follow-up communications from the Co-Innovate team

• To share with Judges for selection of successful applicants
• If your application is successful, to include in promotional materials, including
booklets, website posts and social media content
• To connect you with individuals who can help your business
• To share with host organisations for registration at events you attend
• To form part of our anonymised statistics on the impact of Co-Innovate

If you have any questions, or if you do not wish your information to be used in any of
the ways listed above, please let us know.You can contact us at
co-innovate@brunel.ac.uk or for more information about the way in which we process
your data please refer to our Privacy Policy.
 READY TO PITCH? Application
Applicant Information

Full Name: ________________________________________________________ Date:___________

Mr/Mrs/Miss First Last

Business
Name: ________________________________________________________________________

Business
Address: ________________________________________________________________________
Street Address

________________________________________________________________________
London Borough of Post Code

Phone: _________________________________ Email: __________________________________

Course Title: _________________________________ Pitch Title: _______________________________

Business/Idea Information

Please provide a brief overview of the business/idea:

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Company/idea purpose:
(Please write in the third person singular and do not use bullet points, as this text will be used in event collateral.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

At what stage is your business/idea:

Idea Start-up Scale-up Other

If other, please explain further:

___________________________________________________________________________________
 Branding and Social Media

READY TO PITCH? is a platform to accelerate and amplify entrepreneurs and their businesses. As such, we intend
to engage with your business through any social media accounts that you operate.

If your application is successful, we will also display your company logo on our website and in media produced for
the event, so please provide a link to a file sharing a HIGH RESOLUTION version of your company logo below,
preferably as an EPS file. High resolution JPEG or PNG files will also be accepted if you are not able to provide an
EPS file.

Link to company logo *

Please provide a link to a HIGH RESOLUTION file of your logo. EPS files are preferred, but high resolution JPEG
or PNG files will also be accepted if you are not able to provide an EPS file.

Website URL
Please enter in the following format: www.brunel.ac.uk/co-innovate

Twitter Handle
Please enter in the following format: @ConInnovate_Bru

Facebook Page
Please enter in the following format: coinnovatebrunellondon

LinkedIn Address
Please enter in the following format: @co-innovate-brunel

Instagram Handle
Please enter in the following format: @co-innovate

YouTube Video
If you would like to include a video with your application, please provide the full link to your video (e.g INSERT
LINK TO CO-INNOVATE YOUTUBE PAGE)

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

Signature: __________________________________________________________ Date: ____________