JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
TheseAbilities Business Support Program (Edo)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Emal Address
*
Your answer
Phone Number
*
Your answer
Gender
*
Male
Female
Address
*
Your answer
City
*
Your answer
Local Government of Residence?
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
State of Residence
*
Your answer
Are you a person with disability?
*
Yes
No
If yes, what kind of disability?
*
Hearing impairment
Physical Challenge
Visual Impairment
Albinism
Celebral Palsy
Dwarf
Other:
Are you currently employed????
*
Yes
No
Highest level of education?
*
Secondary School Leaving Certificate/ WAEC
National Diploma/ Higher National Diploma
Bachelor Degree
Post Graduate Degree
Master's Degree
PHD
Other:
Do you have a business?
*
Yes
No
Business Stage
*
Ideation
StartUp
Growth Phase
Other:
Name of your business:
*
Your answer
Is your business legally registered?
*
Yes
No
What Sector is your Business?
*
Agriculture
Information and Technology
Manufacturing
Food Processing
Fashion
Health
Education/ Training
Consultancy
Other:
Tell us about your business. (Max 100 words)
*
Your answer
Do you work full time or part-time on your business?
*
Full time
Part time
How many employees do you have?
*
0
1-5
5-10
Above 10
What was your revenue as of December 2023?
Your answer
What is your value proposition? Why this business? (50 words)
*
Your answer
Business Social Media Links
Your answer
Are you committed to participating in a 1week Programme?
*
Yes
No
How did you hear about this program application?*
*
Radio
Disability Cluster group
Friends
Project Enable Staff
CCD Staff
Facebook
Instagram
Twitter
Word of mouth
Other:
I hereby confirm that all information provided in this form are accurate and
complete.
*
I Agree
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Stanforte Edge Ltd/Gte..
Report Abuse
Forms
