Application Form - Entrepreneurial Development Programme

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Programme Applying For: *

Confirm/Specify Programme Applied for *

Contact information of principal applicant

Last Name *

First Name *

Email *

Business Telephone Number

Mobile Phone *

ID Number *

Home Language *

Race *

Gender *

Citizenship *

Business Street Address (Personal street address if Idea Stage) *

City *

Postal Code *

About your business or business idea

Company Name (Future Name or state 'Not yet Registered') *

Website URL

Year Started (Example: 2002 or 0000 if in Idea Stage) *

Type of Company *

At what stage of development is your company? *

Industry *

BBBEE Level *

Percentage of Female ownership *

Number of employees (0 if in idea stage) *

Approx Gross Annual Revenue *

Market and market positioning

Please provide a brief description of your business or business idea *

What particular problem or market gap will your product/service be addressing? *

0/200 words

Do similar products or services already exist? (locally or globally) Briefly explain *

0/200 words

List your five main competitors *

0/200 words

What is your competitive advantage? *

0/200 words

Describe your target market – corporate or individual, including a description of the typical profile of your customer. *

0/200 words

What is the size/potential size of your target market? Describe how you have calculated/estimated this figure. *

0/200 words

How do you/will you generate revenue? *

0/200 words

How do you currently or plan to promote and sell your product/service? *

0/200 words

List the top 3 Strengths, Weaknesses, Opportunities and Threats involved in your business or business idea *

	First	Second	Third
Strengths: characteristics of the business or project team that give it an advantage over others	First	Second	Third
Weaknesses (or Limitations): are characteristics that place the business or team at a disadvantage relative to others	First	Second	Third
Opportunities: external chances to improve performance (e.g. make greater profits) in the environment	First	Second	Third
Threats: external elements in the environment that could cause trouble for the business or project	First	Second	Third

Funding

How much money have the founder/s invested in the business/business idea to date? *

If you are looking for funding, how much money are you trying to raise? Where do you expect to find it and what would you use it for?

0/200 words

About your team

What management/technical experience do you have supporting your business/business idea, product or service? *

0/200 words

Bios of each team member, list principle applicant first (Please insert 'NA' in all fields not applicable) *

	Principle Applicant	Team Member #2	Team Member #3
Name:	Principle Applicant	Team Member #2	Team Member #3
Position:	Principle Applicant	Team Member #2	Team Member #3
Responsibility:	Principle Applicant	Team Member #2	Team Member #3
Background:	Principle Applicant	Team Member #2	Team Member #3

Disclaimer


As part of our commitment to ongoing encouragement and support for entrepreneurs The Barn will provide assistance where possible and type, duration and cost of suggested interventions are at the discretion of The Barn.
By clicking on the "Submit" button below, I certify that the information supplied on this application is true and complete to the best of my knowledge. I understand that I am not guaranteed a place on any of the Enterprise Development Programmes or any other products or services offered by the Bandwidth Barn.