Applicant Information

Your First Name (required)

Your Last Name (required)

Email (required)

Contact number(required)

Age

Gender
FemaleMaleOther

Municipality

Community

City

Province

Enterprise Information

Which one of the following sectors does your enterprise fall under?
AgricultureEnergyWaterWaste

Trading name of your enterprise.

CIPC Registration Number:

How long has your enterprise been in operation?
Less than 3 monthsBetween 1 and 3 yearsMore than 3 years

What is the current annual turnover?

Are you currently part of any enterprise development programme or incubation? If so, please specify:

Have you and/or your team/enterprises entered into any other competition with a cash prize or grant? If so, please provide details and elaborate on how you performed:

Team Composition and Partnerships

Name of business partner or another director of the enterprise:

Indicate number of team members or personnel:

Does the team have prior business experience? Yes/Non, if yes elaborate:

Do the team skills complement each other and is it beneficial for the business? Yes/No, if yes please mention the various skills

Does the enterprise have other partners or stakeholder besides other directors? Yes/No, if yes please mention partners

Gender Equality & Youth Empowerment

Does the enterprise prioritize women and youth? Yes/No, if yes please elaborate

Does the business ownership comprise of youth and women? Yes/No, if yes please elaborate

Job Creation Potential

Does the enterprise have potential growth to maintain existing jobs and create new ones?

Is the business able to provide upskilling opportunities for current employees? Yes/No, if yes please elaborate

Sustainable Development Goals

What Sustainable Development Goal does the innovation address?

Green and Climate Impact

Does your enterprise efforts or innovation contribute to reducing climate change effects? If yes, how is your enterprise contributing to reducing climate change effects?

Ability to scale and replicate

Is your business model replicable and can it be easily implemented elsewhere? Yes/No, if yes please elaborate

Business Model

Short Description of your business model and innovation (200 words max)

What problem are you solving with your innovation or solution?

Who are your customers?

What products or services do you offer?

Describe your value proposition?

Have you accessed any other finance?

How does your enterprise create social, economic and environmental benefits or impacts?

What is the extent of the social need addressed by the innovation?

What is the extent of the environmental need addressed by the innovation?

If you were to be successful and be part of the programme, what impact would your innovative solution have?

How would the impact be measured?

Have you conducted market research? If so what were the results of the market research?

Have you secured any kind of IP rights? (copyright / trademark / patent)

Do you have a minimum viable product?

Have you sold your products to some customers? Elaborate:

Does your enterprise have significant potential to scale-up? Please describe (200 Words max)

To what extend is your enterprise using low carbon technologies?

Motivation

Why are you applying for this programme? What do you expect to achieve during the programme and after receiving the support through the programme (300 words)?

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