Summary Profile Name * Job Title * Company Name * Street Address * Street Address (2) County * Postal Code * City/Town * Country * Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Saint Martin Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sudan, South Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Mobile Number * Telephone Number Email Address *
CRO Number * Year business established * How long has the business been trading? * Company Sectors *
Of the following sectors listed-please mark which sector your business operates in.
Brief Company Profile & History *
e.g. background, ownership, specialist areas, key business sectors etc. Max 6 lines.
Business Profile - Current Information
Please include current information on the following, with plans for future growth in Turnover and Staff Numbers.
Turnover (Current) * Turnover (Projected 12 months) * Turnover (Projected 24 months) * Total Staff Numbers * Total Staff Numbers (Full Time) * Total Staff Numbers (Part Time) * Business Profile - Turnover Percentages
Please estimate the approximate percentage of your business turnover derived from:
Turnover Percentage (SME companies in Ireland) * Turnover Percentage (Large companies in Ireland) * Turnover Percentage (International companies outside Ireland) * Business Functions Which business function does your business primarily support in * Which business function does your business secondarily require support in * Previous State Assistance *
e.g Funding from the Local Enterprise Offices, Enterprise Ireland, New Frontiers participant
Previous Experience *
If you have undertaken previous LEAN or Business Development project within the business in the past please outline max 10 lines
Ambitions for the programme *
What are the main reasons that you will benefit from doing the Lean for Micro Programme, What goals have you for the programme?
Nominate up to 3 key staff members whom you would use on Lean Business assignments
Staff Name (1) * Key specialist area or skill set (1) * Staff Name (2) Key specialist area or skill set (2) Staff Name (3) Key specialist area or skill set (3) Promoter Commitment *
For participating businesses to benefit from the programme we require that the promoter/key decision maker in the business is committed to the programme
I have read and understand the directory guidelines and declare that the information I have submitted above is true and accurate. I consent to the Local Enterprise Offices of Dublin City, Dún Laoghaire Rathdown, Fingal and South Dublin assessing the information provided for the purposes of gauging suitability for the Lean for Micro Dublin Programme.
The Local Enterprise Office is committed to its transparency obligations under the General Data Protection Regulation (GDPR). Our data protection notice for personal data that is supplied to us by our clients is available at www.localenterprise.ie/legal . This notice contains important information about how we process personal data that is supplied to us by clients. We request that you read the notice carefully and that you ensure that it is made available to any data subjects (e.g. your employees) whose personal data you provide to us.
By ticking “I agree”, you confirm that: (a) you have complied with your own data protection obligations in respect of the personal data that you supply to us and that you are entitled to disclose such personal data to us; and (b) you will ensure that a copy of our data protection notice is sent to data subjects (e.g. your employees) whose personal data you provide to us. (Please tick)
Information will not be released as part of this application except as may be required by law, including the Freedom of Information Acts 1997 and 2003. In the event of a Freedom of Information request, the client will be given reasonable advance notice in order to contest such disclosure.
Signature * Name * Position in Company *