NEIS New Enterprise Incentive Scheme

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1 NEIS New Enterprise Incentive Scheme Application Form for BSB40407 Certificate IV in Small Business Management BSBSMB301A BSBSMB401A BSBSMB402A BSBSMB403A BSBSMB404A BSBFIA402A BSBRES401A BSBADM409A BSBMKG401B BSBMKG402B Investigate micro business opportunities Establish legal and risk management requirements of small Business Plan small business finances Market the small Business Undertake small business planning Report on financial activity Analyse and present research information Coordinate Business Resources Profile the market Analyse consumer behaviour for specific markets BSB30307 Certificate III in Micro Business Operations BSBCUS301B BSBFIA301A BSBSMB301A BSBSMB302A BSBSMB303A BSBSMB304A BSBSMB305A BSBSMB306A BSBSMB403A BSBWOR301B Deliver and monitor a service to customers Maintain financial records Investigate micro business opportunities Develop a micro business proposal Organise finances for the micro business Determine resource requirements for the micro business Comply with regulatory, taxation and insurance requirements for the micro business Plan a home based business Market the small business Organise personal work priorities and development Area Covered: Sydney Metropolitan area as well as Blue Mountains, Central Coast and Wollongong Chatswood Office Address: Suite 404, Level 4, 7 Help Street, Chatswood NSW 2067 Phone: (02) Fax : (02) Web : Parramatta Office Address: Suite 1, Level 1, 20 Wentworth Street, Parramatta NSW 2150 Phone: (02) Fax : (02) Web : CHECKLIST: Please tick this checklist before sending your application, I have: Attended a NEIS information session Notified my employment consultant Completed DEEWR application form Completed PPP referral form Completed assessment plan Attached photo identification Attached resume Attached evidence to B4, B5, C2, D2, D3 Name Job Seeker ID Phone Number Business Partner s Name (if applicable) Sydney Business has provided assistance to small business for over 20 years. FORMS\Master Copies.doc\NEIS Application - Sydney Business - Version 7.0 March 2014.docm Page 1 of 8

2 PART A: YOUR Personal Details YOU MUST ATTACH YOUR RESUME/CV Title Given Name Surname Other Names Date of Birth / / Are you an undischarged bankrupt? Yes No Gender Male Female Have you previously received NEIS allowance? Yes No Provider Name Date Completed **IMPORTANT: YOUR JOB SEEKER DETAILS INCLUSIVE OF ALL JSA CONTACT DETAILS ARE MANDATORY** **Type of Centrelink Benefit (eg: Newstart, Parenting, Disability, Carer) ** Job Services Australia (JSA) provider Organisation Name & Office Location Contact Person s name address Phone No **Drivers Licence Number (required for identification) Home Phone: Mobile Phone: Address: Physical Address: Postal Address: (if different to physical address) Your Personal Details (Continued ) A.1. Language and cultural diversity a. Country of Birth c. How well do you speak English? d. Are you of Aboriginal or Torres Strait Islander Origin? b. Primary Language spoken at home 1 Very well 2 Well Yes No 3 Not well 4 Not well at all FORMS\Master Copies.doc\NEIS Application - Sydney Business - Version 7.0 March 2014.docm Page 2 of 8

3 A.2. Disability, impairment or long-term condition a. Do you consider yourself to have a disability, impairment or long-term condition? b. If you indicated the presence of a disability, impairment or long-term condition, please select the area(s) in the following list: (You may indicate more than one area) Hearing / deaf Physical Intellectual Learning Mental illness Yes No go to A.3. Acquired brain Vision Medical condition Other... A.3. Schooling a. What is your highest COMPLETED school level? (Tick ONE box only) Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or equivalent Year 8 or below Never attended school go to A.4. b. In which YEAR did you complete that school level? A.4. Previous qualifications achieved a. Have you SUCCESSFULLY completed any of the following qualifications? Yes No go to A.5. b. If YES, then tick ANY applicable boxes. Bachelor degree or higher degree Advanced diploma or associate degree Diploma (or associate diploma) Certificate IV (or advanced certificate / technician) Certificate III (or trade certificate) Certificate II Certificate I Certificates other than the above A.5. Employment a. Of the following categories, which BEST describes your current employment status? (Tick ONE box only) Full-time employee Part-time employee Self-employed not employing others Employer unpaid worker in a family business Unemployed seeking full-time work Unemployed seeking part-time work Not employed not seeking employment A.6. Study reason a. Of the following categories, which BEST describes your main reason for undertaking this course? To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion It was a requirement of my job I wanted extra skills for my job To get into another course of study For personal interest or self-development Other reasons FORMS\Master Copies.doc\NEIS Application - Sydney Business - Version 7.0 March 2014.docm Page 3 of 8

4 PART B: BUSINESS DESCRIPTION B.1. Explain what business you are wanting to set up. What will you do? What will your product / service be? *Note: Some businesses may not be suitable for NEIS please refer to Attachment A on page 8 for more details. B.2. Proposed commencement date B.3. Do you require any of the following to commence and operate the proposed business? If yes, please indicate whether you already have the licence or NOT. If you DO NOT have the necessary licence/(s), please indicate if you are in the process of obtaining or what the current situation is. Contact NSW Fair Trading on or visit to find out what licence/(s) you require for your particular business. Details Do you need: (YES/NO) Do you have: (YES/NO) If NO, please give full details of current situation including any costs involved or any documentation you need to obtain to process. Driver s Licence Contractor s Licence Second Hand Dealer s Licence Business Name Registration Australian Business Number (ABN) Council Approval Lease of Premises Accreditation Qualification Membership of association FORMS\Master Copies.doc\NEIS Application - Sydney Business - Version 7.0 March 2014.docm Page 4 of 8

5 B.4. What skills, training or relevant work experience do you have which could be used in running your proposed business? You must provide a certified copy of your qualifications and resume. B.5. WHO are your suppliers for the product(s)? Where are they located? Please provide evidence of your suppliers. B.6. How does your product or service address the National Skills Shortage as outlined by the Australian Federal Government? (Stream 1 & 2 applicants) ** IMPORTANT** From 1 st July 2009, the Federal Government continues to support NEIS businesses under the condition that a product or service helps address the National Skill Shortage. If you have been categorised by Centrelink as Stream 1 or Stream 2, you MUST explain how your business addresses a skill shortage in your area. For further information visit: B.7. Please provide adequate evidence and research material to demonstrate a need for your business. (e.g. letters from prospective clients, letters of support stating a demand for your product or service, research demonstrating a gap in the industry in which you can fill) FORMS\Master Copies.doc\NEIS Application - Sydney Business - Version 7.0 March 2014.docm Page 5 of 8

6 PART C: THE MARKET C.1. What market evidence/research have you undertaken for your products or services? Brief description/summary. Have you spoken to people currently in this industry? What have you found out? How have you tested the market with your product / service? C.2. Can you provide letters of support for your proposed business? You will need these if your business does not address a Skills Shortage in B.6. Please attach. Yes No C.3. Who are the major potential CUSTOMERS and where do they currently buy the products/ services your business will supply? C.4. Why will customers purchase your products / services rather than competitors? C.5. How will you promote and sell your products / services? FORMS\Master Copies.doc\NEIS Application - Sydney Business - Version 7.0 March 2014.docm Page 6 of 8

7 PART D: START UP COSTS D.1. Where will you operate the business from? Home Leased / Rented Premises D.2. What equipment do you already own and what is it worth? Please attach photos of your equipment. D.3. If you need to borrow an amount to finance your business you must provide a letter from the lender to confirm that the funding is available. a. What are your start-up costs (including insurance)? $ b. Source of finance c. What types of insurances do you need? (e.g. public liability, professional indemnity) d. Do you have sufficient finance to start the business? Please attach proof of finance Yes No N/A PART E: RECOGNITION OF PRIOR LEARNING (RPL) E.1. Do you want to claim RPL? Yes, please send me an RPL kit via No By signing below, I understand that: All partners in the business must sign this form. The application process may take up to 10 working days. The application WILL NOT BE CONSIDERED unless ALL criteria is addressed. I have accessed, read and understood the student handbook that is made available to me on the Sydney Business website. Name Signature Date Name Signature Date FORMS\Master Copies.doc\NEIS Application - Sydney Business - Version 7.0 March 2014.docm Page 7 of 8

8 Submit your completed application to: Fax Post NEIS Application Sydney Business Suite 404 Level 4 7 Help Street Chatswood NSW 2067 Businesses NOT SUITABLE for NEIS Attachment A A proposal may not be independent if the business is operating solely or primarily as: a subsidiary a franchise an agent for another enterprise a part of a multi-level marketing arrangement a supplier of labour, products or services to one business in an exclusive contractual arrangement. The Department will not accept NEIS business proposals based on: psychic related business (such as mobile Tarot reading, psychic surgery, aura washing, clairvoyance) gambling stock market (share trading) management of greyhound or other racing syndicates graphic violent films and violent multimedia material sales or distribution of weapons (e.g. guns) providing a platform for the promulgation of political, religious (e.g. theology, teaching of beliefs, evangelistic ministries) or philosophical points of view various sex industry related activities, products or publications (print and electronic) offensive language or genitalia used in names of businesses and logo graphics or any other part of the anatomy described or displayed in an offensive way advocating illegal drug use or involving construction or sale of equipment that could be used for illegal drug use advocating home-based tattooing racial or religious vilification. Examples of inappropriate business proposals previously recommended by NEIS Providers but rejected by the Department include: an erotic dancer or pole dancer a courier service with the drivers wearing G-strings a nudist bed and breakfast a religious itinerant teaching ministry focusing on the subject of eschatology - belief or beliefs about the destiny of mankind and the world a social educationalist who promulgates information that vilifies people manufacturing chocolate moulds of various parts of the human anatomy an immigration agent who would also be a marriage celebrant for those who wished to change their visa status. FORMS\Master Copies.doc\NEIS Application - Sydney Business - Version 7.0 March 2014.docm Page 8 of 8

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