Get in touch | Sheffield Hallam University

Fields marked * are mandatory

1. First name *

2. Surname *

3. Which best describes you? (select all that apply to you) *

4. What is your role in the team, start up or company?

5. Email *

6. Start up / Company name

7. Website address

8. Primary location of the team/company *

9. In a few sentences, describe your product *

10. Outline what support you need from the program *

11. Which of our impact themes do you feel your product would align to? (Tick all that apply) *

Healthy & Active 100 - innovations that prevent disease and supports people into 100 years of healthy and active life Living well with Chronic Disease - focusing on management and treatment of chronic diseases Technological and digital innovations to promote independent lives - focusing on technologies and applications that improve health and wellbeing across the population

12. Please attach a pitch deck (with your name in the title) via the link below

https://www.dropbox.com/request/a2Co0PukibIOkoW46ywo

13. We would like to understand what stage you are at - which of these apply to you?

Have received investment or grant funding Generating revenue Subsidiary of a larger company None of the above

14. State Aid under De Minimis regulation

The support provided by this programme constitutes State Aid under De Minimis regulation (COMMISSION REGULATION (EU) No 1407/2013).

There is a ceiling of €200,000 for all GBER and De Minimis aid provided to any one undertaking over a rolling three-year period. The De Minimis aid provided through the AWRC Welling Accelerator will be relevant if you wish to apply or have applied for any other GBER or De Minimis aid.

Please provide the amount(s) and date(s) of any De Minimis or GBER aid received in the last 3 years (refer to previous awarding

15. Where did you hear about the AWRC Wellbeing Accelerator?

Web address *

Data protection statement

The University will use the personal data you supplied to process and respond to your enquiry. From time to time the University would like to send you information about our services, products and latest news that we feel, based on your enquiry, would be of interest to you. Please let us know if you would like us to contact you or not by selecting one of the options below.

Yes please, I'd like to hear from you

No thanks, I don't want to hear from you

If at any time you change your mind and would like the University to stop sending such information, please contact us awrc@shu.ac.uk or 0114 225 2255. Personal data is never sold to a third party. The University seeks to comply fully with the Data Protection Act 1998 and other applicable legislation. For more information about how your personal data is used, please see our privacy policy.