REFINE Application

This form is designed to collect some basic information about your social impact venture. All information you provide is considered private and confidential.

The questions are designed to assess your trading model, social impact, and your barriers to growth. The things we are looking for are:

A demonstrated commitment to social entrepreneurship (we want to know that you are selling products and services for impact, not applying for grants or running a charity for donations)
Established social enterprise (generating income for at least 12 months or a new impact area within an existing social enterprise)
Potential for even greater impact in the future (REFINE is all about identifying and removing barriers to impact growth for established social enterprises)

Overview of the EOI

This form is designed to collect some basic information about your social impact venture. All information you provide is considered private and confidential. The questions are designed to assess your trading model, social impact, and your barriers to growth. The things we are looking for are: A demonstrated commitment to social entrepreneurship (we want to know that you are selling products and services for impact, not applying for grants or running a charity for donations), established social enterprise (generating income for at least 12 months or a new impact area within an existing social enterprise) , potential for even greater impact in the future (REFINE is all about identifying and removing barriers to impact growth for established social enterprises). Please Note: Space is limited and we encourage aspiring participants to apply early.

Date

Social Enterprise Name

Name

First Last

Phone

Website (if applicable)

Postal Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Which cost structure best applies to you?

Subsidised Price For Social Impact Ventures

Partial Scholarship

Subsidised Price For Social Impact Ventures: $1500 The Mill House already subsidises the cost of this program through the generous support of our partners. The full value of this program, access to mentors and ongoing support is estimated to be $10,000. Partial Scholarship: $750 We offer a limited number of needs-based scholarships for social impact ventures from under-represented backgrounds and limited financial means. If you qualify and wish to apply for a scholarship, please briefly describe your situation and why you wish to join this program.

About Your Social Impact Venture

What problem are you addressing and how are you addressing it? What is your theory of change?

Are you an established social enterprise (i.e. generating income for at least 12 months or setting up a new impact area within an existing social enterprise)?

What impact have you had to date? How do you measure impact?

Your Barriers To Scaling Impact

What are the main barriers currently preventing your social venture from scaling its impact?

What support have you always wanted (but don’t currently have) that would help you overcome the barriers you mentioned?

What is the potential real-world impact of removing these barriers (for both your organisation and the communities you are seeking to help)?

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Thanks For Sending Your EOI Form

Thank you for completing your expression of interest for the Mill House Growth Program, REFINE. Once you press ‘submit’ you will receive an email confirmation. Within a week, someone from the team will be in touch to discuss program suitability and next steps. If you have any questions, please email tim.losurdo@millhouseventures.com.au

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