Section 1: Applicant Information
Your First Name (required)

Your Last Name (required)

Your Email (required)

Contact Number

ID number

Gender
MaleFemaleOther

Physical adress

Province
GautengWestern CapeNorthern CapeNorth WestLimpopoMpumalangaKwaZulu NatalEastern CapeFree State

Are you based in a coal-dependent community?
YesNo

Local municipality

Race

Are you part of any enterprise development programme/enterprise supplier development programme? If so please specify:

Section 2: Business Information
Registered/listed trading name of enterprise

CIPC Registration Number

How long has your venture been in operation
Less than 3 monthsBetween 3 months and 3 yearsMore than 3 years

Current annual turnover

Partners (if any)

Do you have policies or positions on women and youth empowerment?

Location- Please provide the GPS Coordinates and address of where you are operating from (e.g. agricultural site)

Articulate the problems you are solving within your local community and at a broader scale and explain who is your target market?

How is your enterprise creating positive social, economic and environmental impacts?

Does your enterprise have the potential to scale up or is it replicable in other provinces?

Is there a significant climate impact, i.e. enabling coal dependent communities and value chains to move towards a net zero carbon future?

What kind of green technologies is your enterprise using?

Do you have a prototype, if so, please provide images?

What have you achieved so far?

Is your enterprise working towards the sustainable development goals and which goals are you integrating into your daily operations?

Section 3: Motivation

Why are you applying for this programme? What do you expect to achieve at the end of the programme (300 words)?

How did you hear about us?
Social MediaEU CDW: Just Transition DayOther

Section 4: Disclaimer
Full dedication & active participation
What we expect from you is full dedication and active participation. Pay attention to correspondence and embrace the obligations that participating in JTEP brings. Your familiarity with a subject should not lead to absence, but to active participation so others can profit from your experience. As a participant, you retain full and exclusive ownership of your information and intellectual property rights. All knowledge and information generated from this process will be for the sole use of the J-TEP Project and will be freely available for developmental work to both Indalo Inclusive South Africa and the participating enterprise.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to eliminate me from further consideration to participate in the programme whenever it is discovered.
Accept these terms & conditions?
NoYes

Δ