Regional Growth Fund Expression of Interest Published 6th December 2012 at 6:48pm RGF Expression of Interest Form Contact detailsName of company*Sector (based on 1-digit SIC codes)Agriculture, forestry and fishingMining and quarryingManufacturingElectricity, gas, steam and air conditioning supplyWater supply; sewerage, waste management and remediation activitiesConstructionWholesale and retail trade; repair of motor vehicles and motorcyclesTransportation and storageAccommodation and food service activitiesInformation and communicationFinancial and insurance activitiesReal estate activitiesProfessional, scientific and technical activitiesAdministrative and support service activitiesPublic administration and defence; compulsory social securityEducationHuman health and social work activitiesArts, entertainment and recreationOther service activitiesActivities of households as employers;undifferentiated goods-and services-producing activities of households for own useActivities of extraterritorial organisations and bodiesAddress* Postcode*Local Authority Area (of proposed investment)*BarnsleyBassetlawBolsoverChesterfieldDerbyshire Dales DoncasterNorth East DerbyshireRotherhamSheffieldOther / not knownThis is the local authority area in which this investment will be madeName of lead contact person* First Last Phone*Mobile phoneEmail* About your projectTell us about your project* Briefly, what is your project? What are the key deliverables? What difference will it make to your business? When would the project take place?Why is RGF required?* Tell us why your project can’t / won’t happen without RGF support? Or why your project will material benefit from RGF support e.g. it will be undertaken on a larger scale - more employment impact etc. Headline numbersWhat is the total value of your project? Please complete the value fields below. (The 'Total project cost' field at the bottom will automatically calculate the total value of your project.)Asset finance (£)Bank (£)Equity (£)Group funds (£)Other private (£)RGF (£)Other public (£)To be determined (£)This is the total amount of funding not yet defined / still to be found Total project cost (£)This should be the total value of your project i.e. the sum of all the amounts listed aboveHow much of total project cost have you already secured? (£)*Employment impactHow many new jobs (FTE)?*These must be full time equivalent (FTE) jobs created by you, directly as the applicant. A job = 30 or more hours. Two part time jobs = 1 full time job. How many jobs safeguarded?These are jobs that would be lost within 12 months of the date of any RGF award.Average salary of jobs created or safeguarded (£)How many people to do you currently employ (FTE)?What % of the jobs created or safeguarded will be based in the Sheffield City Region?Additional informationAnything else we need to know at this stage?