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The United States International University-Africa Women Economic Empowerment Program
Application Form
* Indicates required question
Email
*
Your email
1. Full Names (as they appear on National ID)
*
Your answer
2. Telephone Number
*
Your answer
3. Email address
*
Your answer
4. Name of your business
*
Your answer
5. Current monthly sales
*
Ksh. 0 and Ksh. 100,000
Ksh. 100,001 and Ksh. 200,000
Ksh. 200,001 and Ksh. 300,000
Ksh. 300,001 and Ksh. 400,000
Ksh. 400,001 and Ksh. 500,000
Above Ksh. 500,000
Other:
6. Number of employees
*
1 to 10
11 to 20
21 to 30
31 to 40
41 to 50
Over 50
Other:
7. Sector of your business
*
ICT
Agribusiness
Retail
Manufacturing
Clothing
Jua Kali
Motor vehicle
Hotel and Restaurant
Cereals
Motor Vehicle
Other:
8. Have you attended any previous training
*
Yes
No
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