Workshops and Maker Spaces Expression of Interest Application Form Step 1 of 13 7% MINIMUM REQUIRED INFORMATION Name(Required) First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Mobile NumberBusiness NumberEmail Are you interested in Tenancy 1?(Required) Yes No Please indicate the rent that you are able and willing to pay to position your proposed Innovation / Creative Business / Social Enterprise at Tenancy 1(Required)($/square metre per annum)Are you interested in Tenancy 2?(Required) Yes No Please indicate the rent that you are able and willing to pay to position your proposed Innovation / Creative Business / Social Enterprise at Tenancy 2(Required)($/square metre per annum)Are you interested in Tenancy 3?(Required) Yes No Please indicate the rent that you are able and willing to pay to position your proposed Innovation / Creative Business / Social Enterprise at Tenancy 3(Required)($/square metre per annum)Are you interested in Tenancy 4?(Required) Yes No Please indicate the rent that you are able and willing to pay to position your proposed Innovation / Creative Business / Social Enterprise at Tenancy 4(Required)($/square metre per annum)Are you interested in Tenancy 5?(Required) Yes No Please indicate the rent that you are able and willing to pay to position your proposed Innovation / Creative Business / Social Enterprise at Tenancy 5(Required)($/square metre per annum)Are you interested in Tenancy 6?(Required) Yes No Please indicate the rent that you are able and willing to pay to position your proposed Innovation / Creative Business / Social Enterprise at Tenancy 6(Required)($/square metre per annum)Are you interested in Tenancy 7?(Required) Yes No Please indicate the rent that you are able and willing to pay to position your proposed Innovation / Creative Business / Social Enterprise at Tenancy 7(Required)($/square metre per annum)Are you interested in Tenancy 8?(Required) Yes No Please indicate the rent that you are able and willing to pay to position your proposed Innovation / Creative Business / Social Enterprise at Tenancy 8(Required)($/square metre per annum)Are you interested in Tenancy 9?(Required) Yes No Please indicate the rent that you are able and willing to pay to position your proposed Innovation / Creative Business / Social Enterprise at Tenancy 9(Required)($/square metre per annum)Are you interested in Tenancy 10?(Required) Yes No Please indicate the rent that you are able and willing to pay to position your proposed Innovation / Creative Business / Social Enterprise at Tenancy 10(Required)($/square metre per annum)Name and summarise your proposed Innovation / Creative Business / Social Enterprise:Alignment with Schedule of temporary activities (refer to EOI Information Memorandum Appendix 1): Proposed Tenant Details Individual/s/Company Name:ACNABNRegistered Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Position Held Confirmation of Tenure Acceptance of and acknowledgement of the tenure opportunity having an expiry no later than 30 June 2030 AcceptName Name Signature Demonstrated Capability and Experience Have you run the proposed Innovation / Creative Business / Social Enterprise before? Yes No Business / social enterprise name:Location of operationLength of ownership:Number of employees/members:Average annual gross revenue:Add another Innovation / Creative Business / Social Enterprise Add Business / social enterprise name:Location of operation:Number of employees/members:Length of ownership:Average annual gross revenue:Add another experience: Add Experience Business / social enterprise name:Location of operation:Number of employees/members:Length of ownership:Average annual gross revenue: Trade References Full Name First Last Name of BusinessPhoneMPhoneTAdditional References? Add Another Reference Full Name First Last Name of BusinessPhoneMPhoneT Current Tenancy Details Business AddressAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Landlord/AgentPhoneEmail Demonstrated Capacity to Deliver Is the proposal a commercial operation? Yes No If NO, please detail:Do you have any special requirements for the business / social enterprise in relation to fit out and/or services? Yes No If YES, please detail: Please provide the following details regarding the proposed Innovation / Creative Business / Social Enterprise Anticipated TurnoverYear OneAnticipated TurnoverYear TwoAnticipated TurnoverYear ThreeProposed Value of StockProposed Cost of Fit Out WorksIs your proposal reliant on future grant or investor funding Yes No If YES, please specify the amount of grant or investor funding required $Note: EDQ does not provide grant funding. How would you intend to promote and advertise the proposed business / social enterprise?Will you occupy and manage the proposed business / social enterprise on site yourself? Please detail proposed management structure.Please outline measures that your proposed business / social enterprise intends to undertake to boost employment. Alignment with Northshore Vision, Workshops and Maker Spaces Please provide a detailed explanation of your proposed innovation / creative business / social enterprise. Please also include information on employment/membership numbers and profiles.Explain how your proposed business / social enterprise aligns with the vision for Northshore and in particular the vision for the Workshops and Maker Spaces precinct.What days and hours of operation to you intend to operate your proposed business / social enterprise?How will your proposed business / social enterprise connect and collaborate with the Northshore residential community and / or business community?If possible, please provide examples and details of successful partnerships and collaborations achieved to date.What length of tenure is your proposed business or social enterprise seeking? Please note any concerns with tenure on offer.Note: Tenure expiry can be no later than 30 June 2030Please explain why are you interested in the tenancy opportunity you have selected as opposed to the other tenancy opportunities available? Engagement with and Economic Benefits to First Nations People How does your business / social enterprise improve the participation of First Nations people in the economy? Including information hiring data, retention numbers, public actions/initiatives would be favourable.Does your business engage Indigenous suppliers? Yes No If YES, please summarise below. Including references would be favourable. Name of supplier:Services / products provided:Reference details Full Name PhoneMAdd another Supplier Add Name of supplier:Services / products provided:Reference details Full Name PhoneMAdd another Supplier Add Name of supplier:Services / products provided:Reference details Full Name PhoneM The completion and submission of this Tenancy Expression of Interest (EOI) Form is not an assurance that your EOI will be accepted. ALLIED CONSULTANCY SOLUTIONS, CBRE OR EDQ staff are not obliged to provide you with any reason if this EOI is not accepted or does not get short-listed. Your Expression of Interest by completing this form does not signify any contractual obligation on either party in respect of the proposed tenancy opportunities within the Workshops and Maker Space precinct. I/We declare that the information provided in this Tenancy EOI Form is true and correct. I/We agree that EDQ / CBRE or their representatives can make enquiries in relation to this proposal and that they may contact parties detailed in this Tenancy EOI Form. I/We are aware that all information supplied will be collected and held with EDQ / CBRE for future reference. Name First Last SignatureDate DD slash MM slash YYYY Name First Last SignatureDate DD slash MM slash YYYY