Application form for BBC Dragons' Den 2013.

1. You should give as much information as necessary to enable us to assess your
business idea but should not disclose any information which is to be treated as
commercial in confidence. You must not include details on any application or
process which may be patentable unless you have secured the patent or this is
pending – if you do disclose this it may invalidate any patent application you later
make.
DRAGONS’ DEN APPLICATION FORM
NAME:
Age: Date of Birth:
Home: Email:
Work:
Mobile:
Home Address: Company
Address (if
relevant):
Present Occupation: Marital Status:
Previous Jobs (please
list):
BUSINESS
Name of business:
Describe your idea in
one line:
Amount of investment
required:
% share in exchange:
Executive summary:
In the Executive
Summary, you have the
chance to sell yourself
and your idea, and give
a clear and
comprehensive outline
of your business or
product. What problem
does your idea solve?
What stage are you at
with patent or
copyright protection?
Where are you up to
with prototyping or
testing? Describe sales,
if your business is
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2. trading. Please supply
any additional
information you feel
may be useful.
Do you have a written
business plan?
OTHER INFO
Have you been on
Television before?
And have you applied
to appear on any other
business programmes?
(If yes, please give
details)
Where did you most
recently hear about the
show?
Have you applied to the
show before?
Please use this section
to tell us about yourself.
Do you have any criminal convictions? (Please give details whether spent or otherwise).
Do you give your permission for the BBC to carry out a full Criminal Record Bureau (CRB)
check to verify the above details?
Have you ever been bankrupt or been disqualified from being a director of a company? (Please
give details).
ENTREPRENEUR AVAILIBILITY
Recordings take place in Salford. Should you be successful in being selected for the series, you
will be required to attend 1 recording day which could be a weekday. (Note: we will do our best
to accommodate you, but please be aware that it may not be possible to include you in the series
if your availability is limited.)
Please indicate any dates that you will definitely not be available for filming:
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3. MONITORING
The BBC is committed to equal opportunities to all, irrespective of race, colour, creed, ethnic or
national origins, gender, marital status, sexuality, disability or age.
Note: The BBC will only use your personal details for the purpose of selecting contestants for the
Dragons’ Den series. Your information, in particular your ethnic origin and disability data, will also be
used for statistical monitoring of Dragons' Den applicants. Your information will be treated in the
strictest confidence by the BBC and individual data will not be provided to any other party. For further
information, please read the BBC's privacy policy at www.bbc.co.uk/privacy/.
ETHNIC ORIGIN
ASIAN/ASIAN BRITISH
BLACK/BLACK BRITISH
CHINESE
MIDDLE/NEAR EASTERN
MIXED ETHNIC GROUP
WHITE
BLACK OTHER ____________________
GENDER DISABILITY
MALE Do you consider yourself to have a disability?
YES
FEMALE
NO
ADVERTISING
To help us with our research would you please state where you found out about the application
process for Dragons’ Den (please tick as appropriate):
TV APPEAL
RADIO (Please state name of station) _________________
PRESS ADVERT (Please state publication) ______________
FLYER OR POSTER (Where did you see it?)______________
BBC WEBSITE
EMAIL
BBC BIG SCREEN ANNOUNCEMENT
WORD OF MOUTH
OTHER (Please specify)_____________________________
SIGNATURE
I confirm that the information given in this form is, to the best of my knowledge and belief, true
and accurate. Please sign and print name below.
SIGN PRINT
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4. We regret that BBC members of staff and their immediate families are not eligible to apply and
all applicants must be 18 or over.
RETURNS
Please return the completed form ASAP by post or email to:
EMAIL: dragonsden@bbc.co.uk
POST:
DRAGONS' DEN
5th FLOOR, BRIDGE HOUSE
MEDIACITY UK
SALFORD
M50 2BH
Unfortunately, due to the high number of applicants only those people who are short listed will be
contacted. However, we do consider all applications carefully.
All information provided is subject to and will be treated in accordance with Data Protection Act
1998 and will not be used for any purpose other than assessing applicants to take part in the named
BBC programme.
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