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First Name:


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Organisation (if applicable):


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Describe briefly what you and/or your company does, or what is your business idea:


How would you describe the stage of development of the organisation/project? Are you currently trading and if yes, how long have you been up and running for? Are there other people involved?:


Describe your personal motivation to manage or set up this project? Why does it exist?:


Describe why you would like to join the Innovation Garden; What kind of skills would you wish to develop and what would be the ideal outcome for you:

How did you find out about LearningHouse? (e.g. member referral, colleague, friend, internet, government agency, mailing list, facebook..):


We will ensure that your personal details are held in the strictest of confidence and will not be passed on to third parties. By submitting the form, you declare that the details given are true to the best of your knowledge.