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Application How did he/she learn about the AIC
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Entrepreneur/Personal Information

 

Firstname
Lastname
Gender
Date of Birth
Phone Number
Email
Home Address
Nationality
Language
Ownership Information Name of the business
Position (title) in this business
Date in which this business start
Number of owners of this business
Names of owners/founders
Percentage of the business he/she own
Education Information Highest level of education
Field or area of study
Are you currently enrolled in any degree or certification program?
Entrepreneur Information Number of years of work experience before starting this business
Currently or in the past, have you owned any other business aside from the business that brings you to the AIC?

Business Profile

 

 

Business's address
Phone number for this business
Does your business have a business license?
Does your business have a Tax Identification Number?
Does your business have a registration certificate?
Business Registration Legal entity or structure for this business
Business registration date
Business registration number.
Country which this business registered
Business Description Is this a family business?
Number of physical locations (branches, factories, buildings, etc.) which this business have, Include the main office or headquarters.
Number of full-time, formal employees do you have right now (including all owners)
Number of 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


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.
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.
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
What is your sales approach for generating revenue? Select all that apply
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".
Product Inputs Where do you get your inputs from? Select all that apply
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.
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


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.   Answers
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.
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

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