JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
StartUp Afrika Application Form
Kindly fill this form accurately and attach all necessary documents
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of Company/Startup
*
Your answer
Name of Key Contact Person/Email/Phone No.:
*
Your answer
City and Country:
*
Your answer
Start of the company/project:
*
Your answer
Company/Project sector:
*
Your answer
Short description/background of your business/project (max. 300 words):
*
Your answer
Description of the current state of the project; turnover and net income for the last three years (max. 250 words):
*
Your answer
Description of your business outlook for the next 3 years
*
Your answer
Description of the business model and target group/s of the project:
*
Your answer
Problem(s) being addressed with regards to your project (max. 250 words)
*
Your answer
How do you ensure the longer-term viability, i.e. the sustainability, of the project? (max. 250 words)
*
Your answer
What are the international prospects in terms of sale of product/service and partnership?
*
Your answer
What are the potential risk factors for this project that could threaten its results? How do you plan to overcome, mitigate, and minimize these risks factors? (max. 250 words)
*
Your answer
Scale-up: Please describe how the project could be scaled up to achieve greater impact on a sustainable basis if it proves to be successful. What are the financial implications? (max. 250 words)
*
Your answer
Have you already applied for or received a financial grant or loan for this business/project?
*
Your answer
Which of the 17 Sustainable Development Goals(SDGs) of the 2030 agenda can be associated with your project?
*
Your answer
Any other information that will support your application:
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
