Application How did you learn about the AIC? Please select all that apply.
From individuals affiliated with AIC (for example, other entrepreneurs who have worked with AIC)
From individuals not affiliated with AIC
From business/trade associations
Marketing/Ad Campaign
From funder or investor
Other (please specify below)

Entrepreneur/Personal Information

(Please provide some information on yourself.)

Firstname
Lastname
Gender
Date of Birth
Phone Number
Email
Home Address
Nationality
Language English
Afrikaans
Amharic
Arabic
Chinese
French
German
Hindi
Italian
Japanese
Russian
Spanish
Swahili
Vietnamese
Zulu
Other(please specify)
Ownership Information What is the name of your business?
What is your position (title) in this business? (For example, CEO or Director)
When did you start this business?
Including you, how many owners does this business currently have? (If you are the only owner, enter "1")
Enter the names of the other owners/founders of this business.
What percentage of the business do you own?
Education Information

What is the highest level of education you have completed? Only include fully completed degrees.

In what field or area of study did you complete this highest level of education? If you have not studied in a particular field, select "not applicable."
Are you currently enrolled in any degree or certification program?
Entrepreneur Information Before starting this business, how many years of work experience did you have? Only include yearsbefore your current business. If no prior work experience, enter "0".
Currently or in the past, have you owned any other business aside from the business that brings you to the AIC?

Business Profile

(Please provide information on current business here.)

 

What is your business's address?
What is the phone number for your business? Include country, area, and city codes.
Does your business have a business license?
Does your business have a Tax Identification Number?
Does your business have a registration certificate?
Business Registration What is the legal entity or structure for your business?
On what date was your business registered? Enter the date listed on official registration documents.
Enter the business registration number.
In what country is your business registered?
Business Description Is this a family business?
How many physical locations (branches, factories, buildings, etc.) does your business have? Include the main office or headquarters.
How many full-time, formal employees do you have right now (including all owners)?
How many of your full-time, formal employees are women (including all owners)?
Business Information Do you have a business plan for your business?
Does your business currently do any marketing?
If yes, please describe your marketing approach/strategy.
Does your business have a website?
If your business has a website, enter the website address here.
Have you ever received any technical assistance, training, mentoring, or other business development services?

Business Development Services

(Please provide some information on those business development or support services here.
Complete as many questions as relevant for services received in the past or currently.)

Who provided the technical assistance, training, or mentoring?
In what year did you receive technical assistance, training, or mentoring from that service provider?
What topics were covered in the business development services? Check all that apply. Accounting, Bookkeeping, & Financial Modelling (managing business finances, financial projections, accounting)
Boot Camp (accelerated training or pitch event, held over defined period of days)
Business Planning and Strategy Development (business plan development, strategic planning)
Fundraising (strategies for securing investors, financing, or grants for the business )
Human Resources Management (recruiting, hiring, training, staff development)
Legal Services / Intellectual Property (business registration, taxes, other legal matters)
Marketing and Sales (market linkages, marketing strategy, market research, advertising)
Networking (connecting with other businesses, partners, sector leaders, etc.)
Operations and Performance Management (processes and procedures, suppliers, infrastructure,sustainability)
Product Development, Production, and Standards (R&D, testing, manufacturing, regulatory compliance)
Soft Skills (negotiation, leadership, time management, etc.)
Technical Facility / Work Space (access to labs, workshops, office space)
Other (please specify)
If you have received other business development services, please provide information onthose other services here. If not, leave blank and continue with the application.
Who provided the technical assistance, training, or mentoring?
In what year did you receive technical assistance, training, or mentoring from that service provider?
What topics were covered in the business development services? Check all that apply. Accounting, Bookkeeping, & Financial Modelling (managing business finances, financial projections, accounting)
Boot Camp (accelerated training or pitch event, held over defined period of days)
Business Planning and Strategy Development (business plan development, strategic planning)
Fundraising (strategies for securing investors, financing, or grants for the business )
Human Resources Management (recruiting, hiring, training, staff development)
Legal Services / Intellectual Property (business registration, taxes, other legal matters)
Marketing and Sales (market linkages, marketing strategy, market research, advertising)
Networking (connecting with other businesses, partners, sector leaders, etc.)
Operations and Performance Management (processes and procedures, suppliers, infrastructure,sustainability)
Product Development, Production, and Standards (R&D, testing, manufacturing, regulatory compliance)
Soft Skills (negotiation, leadership, time management, etc.)
Technical Facility / Work Space (access to labs, workshops, office space)
Other (please specify)
Product Development Briefly describe your business and what you do
How many products does your business produce?
Please list all of the products you currently produce
Product Distribution Who are your targeted customers? Select all that apply Low-income households/individuals (bottom of the pyramid)
Middle-income households/individuals
Small or medium businesses
Large businesses, corporations, government

What is your sales approach for generating revenue? Select all that apply Fee for Service (charging fee for providing defined service)
Leasing (renting or leasing product for defined period of time)
Retail (selling product to customers directly)
Wholesale (selling product to retail or wholesale outlet)
Other (please specify)

Do you sell directly to end users (customers)?
Sales How many sales outlets do you have?
Product Information Who are your competitors? Please list the names of your competitor firms.
Do your facilities meet all required food safety standards (TFDA)?
Do your products meet all required food safety standards (TFDA)?
Which certifications your business has received? If none, select "Not Applicable". TBS
TSFA
Not Applicable - no certifications received
Other(please specify)
Product Inputs Where do you get your inputs from? Select all that apply Local farmers
Traders/middlemen
Imports
Business Contracts Do you currently have any contracts or purchase orders?
Which of the following do you currently have contracts or orders with? Check all that apply. Company or corporation
Government
NGO
Not Applicable
Other (please specify)
What is the total value of contracts that you have secured? Please provide the total amount of all contracts and orders in Tanzanian Shillings. Enter "0" if no contracts secured.
Past Financials Please enter the start of your business's fiscal year
Please enter the end of your business's fiscal year.
Please select your local currency. This is the currency you will use when answering all financial questions
The following questions relate to your business's finances for the last two completed fiscal years. If your business did not exist in this period, or if you had no revenues or profits for any of these years, please enter "0" as applicable.

Last Fiscal Year:

Please provide your total annual revenue and profits for the last completed fiscal year (the fiscal year before this current one). Enter "0" if applicable.

Total annual revenue.
Total annual profits. If profits were negative, include a "-" sign.

Two Fiscal Years Ago :

Please provide your total annual revenue and profits for two fiscal years ago (the fiscal year before the one you just reported on). Enter "0" if applicable.

Total annual revenue
Total annual profits. If profits were negative, include a "-" sign

Current Financials

Fiscal Year to Date (Actuals) :

Please provide information on your current year financials, up to today. If your business has had no revenues or profits this year, please enter "0" as applicable.

Total (gross) revenue this fiscal year, to date. Enter "0" if no revenue.
Total profits this fiscal year, to date. If profits were negative, please include a "-" sign.

Next Fiscal Year (Projected):

Please provide your projections for next fiscal year.

Projected total (gross) revenues. Enter "0" if applicable.
Projected profits. Enter "0" if applicable. If profits are projected to be negative, please include a "-" sign
Funding How much personal money have you and any other business owners invested in this business? Please enter in Tanzanian Shillings.
Have you ever applied for any loans or grants for this business
Have you ever spoken with or been approached by any potential investors in your business?
Have you already secured any funding for this business from external sources? Only include funding that does NOT come from you and any other business owners.
Funding Secured Where did you receive funding from?
In what year did you secure this funding for your business
How much funding did you secure from that source, in Tanzanian Shillings
What was the instrument used for that funding
Date for grants
If the funding was in the form of debt (loans), what was the interest rate?
Was collateral required to secure the funding
If collateral was required, what was the value, in Tanzanian Shillings, of the collateral you provided

Funding Needed

(If you have secured funding from another source, please complete the following questions. If not applicable, continue to the next section.)

Where did you receive funding from?
What is the name of the institution or individual who provided the funding
In what year did you secure this funding for your business?
How much funding did you secure from that source, in Tanzanian Shillings?
What was the instrument used for that funding?
Date for grants
If the funding was in the form of debt (loans), what was the interest rate?
Was collateral required to secure the funding?
If collateral was required, what was the value, in Tanzanian Shillings, of the collateral you provided?
If you have secured funding from another source, please complete the following questions. If not applicable, continue to the next section.
Where did you receive funding from?
What is the name of the institution or individual who provided the funding?
In what year did you secure this funding for your business?
How much funding did you secure from that source, in Tanzanian Shillings?
What was the instrument used for that funding?
Date for grants
If the funding was in the form of debt (loans), what was the interest rate?
Was collateral required to secure the funding?
If collateral was required, what was the value, in Tanzanian Shillings, of the collateral you provided?
Are you looking to raise funding for your business?
How much funding do you seek to raise, in Tanzanian Shillings?
What would be the primary use of any funding secured? Only select one.
Entrepreneurial Support For each statement, select how much you agree or disagree.   Strongly Disagree Disagree Neutral Agree Strongly Agree
I have professional goals.
I revise my goals periodically.
If I don't reach a goal in the way I wanted to, I try again.
I prefer talking about solutions, not problems.
I think the government should give me opportunities.
I have to reach some goals to feel satisfied.
I am excited about opportunities that lie ahead of me in my enterprise.
What areas of support would you like to receive from the AIC? Please select the three primary services you would like to receive. Accounting, Bookkeeping, and Financial Modeling
Business Planning and Strategy Development
Fundraising
Human Resources Management
Legal Services / Intellectual Property
Marketing and Sales
Mentoring
Networking Opportunities
Operations and Performance Management
Product Development, Production, and Standards
Soft Skills (Negotiation, Public Speaking, Leadership, etc.)
Technical Facilities or Work Spaces
Final Comments Is there anything else you would like us to know about you or your business? Please add any information
you think should be considered with your application

Note:- Checkup your details before submiting bacasuse there is no option to edit.

 

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