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Incubator Support - New and Existing Incubators application form
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Incubator Support - New and Existing Incubators application form
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Instructions

Incubator Support - New and Existing Incubators application form
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About the Incubator Support Initiative
The $23 million Incubator Support initiative supports the Australian Government’s commitment to: assist Australian start-ups to develop the capabilities required to achieve commercial success in international markets and realise their economic potential faster than they otherwise would develop Australia’s innovation ecosystem including in regional areas. The initiative provides grant funding through two components to deliver Incubator Support projects, both of which require a funding contribution from applicants. These are: New and Existing Incubators Expert in Residence In addition to these granting components, regional incubator facilitators are available to assist potential applicants, particularly in regional areas, to engage with the initiative. The initiative will also assist successful applicants to access public data, and will promote start-ups through case studies on the data.gov.au portal. The objective of the New and Existing Incubators component is to: a.help develop new incubators in regional areas and/or sectors with high potential for success in international trade b.boost the effectiveness of high performing incubators, including funding support to expand their services and/or develop the innovation ecosystem c.encourage incubators to work with more data-driven start-ups that use public data as part of their business. The initiative’s intended outcomes are to: support new Australian incubators targeting innovative start-ups to assist them to trade internationally expand the scale and operations of existing Australian incubators to increase innovative start-ups’ chances of success in international markets develop new innovative Australian start-ups with a focus on international markets create opportunities for Australian start-ups to develop sustainable businesses through access to open public data.
Completing this form
You must read the Incubator Support Program Guidelines before filling out this application.
Disclosure of information
The Commonwealth’s use and disclosure of your information (provided in this application or otherwise) is set out in the Incubator Support Initiative Program Guidelines. Ensure that you have read this document and understand the information contained therein. For further information regarding the Department of Industry, Innovation and Science’s (the department’s) obligations in accordance with the Privacy Act, refer to the department’s Privacy Policy
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The Address search fields in this form use Google Places to help fill in the address details. By using this feature you agree to be bound by Google’s Terms of Service and are subject to Google’s Privacy Policy.
Getting help
If you require assistance completing this application form please contact us on 13 28 46 or at business.gov.au. Our website and staff can help you with forms, finding business information and services and allow you to provide feedback, comments or suggestions. You should also read and understand the Program Guidelines and sample grant agreement(s) before completing an application. View these documents at business.gov.au.
Requirements
This form functions best when it is completed using the most recent version of your internet browser. This form is not compatible with Internet Explorer 8 or earlier browsers. If you are using an earlier browser version, you may have difficulty in displaying the form correctly or it may not display at all.
Unsubmitted forms
You can save your unsubmitted form by clicking SAVE FOR LATER at the top of this form. This form has a Tracking Code displayed in the top right corner. Please make a note of this Tracking Code for your records. The Tracking Code is required to reopen your saved form and you will need to provide this code if you require assistance with your form. Incomplete, unsubmitted forms are retained for a maximum of 60 days before being deleted. Your active form should be saved during this 60 day timeframe otherwise it will be deleted and you will need to start a new form.
Attachments
All attachments marked as required must be attached before your application can be submitted. Files with ".pdf, .rtf, .doc, .docx, .xls, .xlsx" extension types can be uploaded. Total file size of all attachments in the application should not exceed 20MB. Please note that there is a size limit of 2MB per attachment.
Submitting your form
You can apply for Incubator Support at any time over the life of the program. You will have the opportunity to submit your application as a draft or final version. You may submit one draft application and we will provide feedback and identify where you can strengthen your claims against the merit criteria. You should address this feedback before submitting your final application. The formal decision process does not commence until we receive your final application. If you require further guidance, have difficulties completing the form or are unable to use the online form you can contact us on 13 28 46 or at business.gov.au.

Eligibility

Incubator Support - New and Existing Incubators application form
Fields marked with  * are required

Eligibility

This section will help you determine whether you are eligible to apply for the program.
Are you an existing incubator or establishing a new incubator that can foster and facilitate the development of innovative start-ups focused on international trade?
We define an incubator as a business support organisation that fosters innovative start-ups, focused on international trade, through the provision of services such as seed funding, colocation, mentoring, professional services and access to networks. It can include accelerators and germinators.
Is your organisation a new incubator that can foster and facilitate the development of innovative start-ups focused on international trade?
Does your organisation have an Australian Business Number (ABN)?
For trustees applying on behalf of a trust, this refers to the ABN of the trust.
Is your organisation an entity, incorporated in Australia?
Is your organisation an incorporated trustee applying on behalf of a trust?
You must be able to provide a copy of the trust documents showing the relationship of the incorporated trustee to the trust.
Is your organisation a publicly funded research organisation?
This includes all higher education providers listed at Table A and Table B of the Higher Education Support Act 2003 (Cth).
Is your organisation an incorporated not for profit organisation?
This includes community groups with voting and/ or financial membership of at least five individuals?
Is your organisation a local government agency or body?
A local government agency or body is a local governing body as defined in the Local Government (Financial Assistance) Act 1995 (Cth).
Is your organisation a Commonwealth or state/territory government agency or body (including PFROs and government business enterprises)?
Is your organisation an Australian state/ territory government?
Are you able to provide evidence from your board (or chief executive officer or equivalent if there is no board) that the project is supported, and that you can complete the project and meet the costs of the project not covered by grant funding?
You will be required to provide a letter from your board or equivalent with your application.
Will your project include eligible activities and eligible expenditure?
Eligible activities include but are not limited to: a.expanding mentor networks to new mentors with national or international expertise; b.providing or facilitating access for innovative start-ups to new resources (such as purchase of technical equipment) to promote or facilitate international trade; c.providing or facilitating access for innovative start-ups to new knowledge (such as customer acquisition and/ or business development methods) to promote or facilitate international trade; and d.facilitating innovative start-ups’ access to new international networks (e.g. investors, customers peer firms).
Will your total eligible project value be at least $52,000 where located in a major city? or at least $40,000 where located in a regional area? *
You are not eligible to apply for this program. Please refer to the program guidelines.

Contact details

Incubator Support - New and Existing Incubators application form
Fields marked with  * are required

Primary contact

Person authorised to act on behalf of the applicant.
You must provide either a phone or mobile number. *
Provide the postal address of the primary contact.
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Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.
Is your business located in Australia?
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Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
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Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.
Google Places - start entering your address to search Google Places and if found will autofill the fields below. If not found, please enter the address details directly in the fields below.
Country *
Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.
Is the applicant the primary contact’s employer?
Provide a contact for the applicant organisation.
You must provide either a phone or mobile number. *
Provide the postal address for the contact of the applicant organisation.
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.
Google Places - start entering your address to search Google Places and, if found, the form will autofill the fields below. If not found, please enter the address details directly in the fields below.
Country *
Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.
Is your business located in Australia?
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.
Google Places - start entering your address to search Google Places and if found will autofill the fields below. If not found, please enter the address details directly in the fields below.
Country *
Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.
Google Places - start entering your address to search Google Places and if found will autofill the fields below. If not found, please enter the address details directly in the fields below.
Country *
Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.

Feedback

How did the applicant hear about the Program? *
Select as many that apply

Applicant information

Incubator Support - New and Existing Incubators application form
Fields marked with  * are required

General information

If you have previously completed an application for another element of the Incubator Support Initiative, please enter the tracking number for that application here.
This will mean you will not have to enter information again that you have already entered for the other application.
Are you an existing or new incubator?

Joint application

Joint applications are acceptable, provided you have a lead applicant who is the main driver of the project and is eligible to apply.
Is this a joint application?
The lead applicant must complete this form. If you are unsure of whether your application should be a joint application contact us on 13 28 46 or at business.gov.au.
You are required to list all the joint project partner organisations, starting with the lead applicant. If the lead applicant is a trustee of a trust, enter the trust ABN.
Please enter the ABN of all Australian partners in the joint application and click the Validate button to retrieve your registration details.

You will be required to provide a copy of the trust documents showing the relationship of the incorporated trustee to the trust.
This is the ABN registered for the trustee as an entity in its own right.
The entity name refers to the name that appears on all official documents or legal papers. The entity name may be different from the business name.
Your business may have registered one or more business names. If you operate under a business or trading name you can enter alternate name(s) here. If your business or trading name is not listed here select ‘Other’.
If you have not registered your business name but trade under another name enter it here.
Upload a copy of the trust documents showing the relationship of the incorporated trustee to the trust
File:
You must attach a letter of support from each of the other organisations involved in the proposal. * Refer to section 11.2 of the program guidelines for what is required in the letter of support.
File:
Are there international project partners?

International project partners

Please enter details of all international project partners

International project partner

Type of applicant

In this section you must indicate what type of entity you operate under. All entities must have an ABN.
Select which type of entity your organisation is: *
To be eligible the company must be incorporated in Australia under the Corporations Act 2001, have an ABN and an ACN and be non-tax-exempt.
For trustees applying on behalf of a trust, you must enter the details of the trustee acting in its capacity as a trustee on behalf of a trust.

Applicant details

These details have been populated from the first collaboration partner entered above.
You will be required to provide a copy of the trust documents showing the relationship of the incorporated trustee to the trust.
This is the ABN registered for the trustee as an entity in its own right.
The entity name refers to the name that appears on all official documents or legal papers. The entity name may be different from the business name.
Your business may have registered one or more business names. If you operate under a business or trading name you can enter alternate name(s) here. If your business or trading name is not listed here select ‘Other’.
If you have not registered your business name but trade under another name enter it here.
Upload a copy of the trust documents showing the relationship of the incorporated trustee to the trust
File:

Trust and trustee details

These details have been populated from the first collaboration partner entered above.
You will be required to provide a copy of the trust documents showing the relationship of the incorporated trustee to the trust.
This is the ABN registered for the trustee as an entity in its own right.
The entity name refers to the name that appears on all official documents or legal papers. The entity name may be different from the business name.
Your business may have registered one or more business names. If you operate under a business or trading name you can enter alternate name(s) here. If your business or trading name is not listed here select ‘Other’.
If you have not registered your business name but trade under another name enter it here.
You must provide a copy of the trust documents showing the relationship of the incorporated trustee to the trust.
File:
You will be required to provide a copy of the trust documents showing the relationship of the incorporated trustee to the trust.
This is the ABN registered for the trustee as an entity in its own right.
The entity name refers to the name that appears on all official documents or legal papers. The entity name may be different from the business name.
Your business may have registered one or more business names. If you operate under a business or trading name you can enter alternate name(s) here. If your business or trading name is not listed here select ‘Other’.
If you have not registered your business name but trade under another name enter it here.
You must provide a copy of the trust documents showing the relationship of the incorporated trustee to the trust.
File:

ANZSIC details

What is the applicant’s main revenue earning activity under the Australian and New Zealand Standard Industrial Classification (ANZSIC)?
The ANZSIC codes and titles are available from the Australian Bureau of Statistics (ABS) website. Phone 13 28 46 if you require assistance.

Address details

Provide your Organisation Street Address
Is your business located in Australia?
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.
Google Places - start entering your address to search Google Places and if found will autofill the fields below. If not found, please enter the address details directly in the fields below.
Country *
Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.
Google Places - start entering your address to search Google Places and if found will autofill the fields below. If not found, please enter the address details directly in the fields below.
Country *
Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.
Google Places - start entering your address to search Google Places and if found will autofill the fields below. If not found, please enter the address details directly in the fields below.
Country *
Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.
Is your postal address the same as your organisation street address?
Provide your Postal Address
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.
Google Places - start entering your address to search Google Places and if found will autofill the fields below. If not found, please enter the address details directly in the fields below.
Country *
Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.
Is your business located in Australia?
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.
Google Places - start entering your address to search Google Places and if found will autofill the fields below. If not found, please enter the address details directly in the fields below.
Country *
Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.
Google Places - start entering your address to search Google Places and if found will autofill the fields below. If not found, please enter the address details directly in the fields below.
Country *
Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.

Website address

Project site address

Will the project’s activities occur solely at the above listed head office address?
You will need to enter your head office address into the regional locator tool to confirm the regional status. You will be required use this information for the next question.For the purposes of the Incubator Support Initiative the following classifications are considered regional: Inner regional Outer regional Remote Very remote.
Provide the site addresses for the location of your project and allocate a percentage of project activities to each site address.
Your project activities percentage should be based on eligible project value of those activities. We consider your project is located in a regional area if you can attribute at least 80 per cent of your eligible project value to activities in a regional area. The form will automatically detect the regional status of the project address. You can check the regional status by entering the site address into the regional locator tool. For the purposes of the Incubator Support initiative the following classifications are considered regional: Inner regional Outer regional Remote Very remote. A project site address must be a street address, not a postal address

Site address

Is this site address located in Australia?
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Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.
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Indicate if this is the primary, secondary or additional project site address.
Country *
Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

Your Terms of Use and Privacy Policy must be publicly available. You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy.
Once you have complied with Google's policy you should hide this note.
Google Places - start entering your address to search Google Places and if found will autofill the fields below. If not found, please enter the address details directly in the fields below.
Country *
Please enter the country’s two letter code. You can find the two letter code by clicking this link to the ISO resource and selecting 'Country codes' above the search field.
Is this site address located in a regional area?

Regional status

Where at least 80% of your project activities are located in a regional area, your project is considered to be a regional project and you are eligible to apply for a higher grant percentage.
Is your project located in a regional area?
If successful you will be required to provide evidence of the regional nature of your project activities in your progress reports.

Latest financial year figures

We collect the following data from all applicants across all grant programs. We use this data to better understand your business and to help us develop better policies and programs.
Has your organisation existed for a complete financial year? *
All amounts in the table below must show a whole dollar value e.g. $1 million should be presented as $1,000,000. The turnover value must be that of the incorporated entity that is making the grant application (the ‘applicant’), regardless of whether the entity belongs to a consolidated group for tax purposes. These fields are mandatory and entering $0 is acceptable if applicable for your organisation. If they clearly do not apply to your organisation you may select not applicable.
FY