SA25 Startup Business Award Application Form

SA25 Startup Business Award Application Form

PLEASE NOTE: This application form cannot be saved part way through for completion at a later time. Please ensure you have all required relevant information and documentation ready prior to commencement. Applications close 31 May 2025.

First Name*

Last Name*

Business/Organisation*

Contact Number*

Email Address*

Website

Q1*

Please outline/describe your Startup Business and its activities and explain why you would like it to be considered for this award. (Max 250 words).

Q2*

Please explain how your business is or will contribute to meeting the needs of the Waikirikiri Selwyn community (Max 250 words).

Q3*

Please show how your business fosters a sense of community in Waikirikiri Selwyn (Max 250 words).

Q4*

Please explain your commitment to better the Waikirikiri Selwyn district through your business and innovation for now and into the future (Max 250 words).

Q5*

Please provide evidence of your growth and how this growth is sustainable for the future (Max 250 words).

Q6*

Explain how your business is contributing to leaving lasting and positive impacts on the Waikirikiri Selwyn district (max 250 words).

File Upload*

Please upload the following; Business logo, if applicable, in full colour and white only on transparent background (.png or .eps file) Photo – 1 x high resolution hero shot and evidential images relevant to your business – max 4 additional images.

Drag and drop files here or

Marketing Privacy*

Applicants acknowledge and agree that by submitting an application, any personal information provided will be collected, used, and stored in accordance with the New Zealand Privacy Act 2020.

Eligibility and Conditions of Entry*

As the applicant’s information and images can be used for promotional purposes, please tick to acknowledge this application is being submitted by the applicant organisation or individual named above and you have read and accept the “Eligibility and Conditions of Entry”

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