Sinapis Coaching Application Form

Application Stage

Please select... Application Received

Thank you for your interest in our small group coaching. We will send you an email with further details after your application on how to join the next cohort.

First Name 

Last Name

Email (Please ensure there are no capitals letters or spaces

Phone Number

Us this format +254123456790

What sector does your business operate in? 

Please select... Energy (energy equipment, oil & gas) Materials (chemicals, construction materials, containers, metal, paper products) Industrials (machinery, professional services, transportation) Consumer goods (auto parts, household appliances, textiles, hotels, retail) Consumer staples (food & beverage products, personal products) Healthcare (equipment, services, technology) Financials (banks, financial services, insurance) IT (services, software, electronic equipment) Communications (media, entertainment, telecommunications) Utilities (electric, gas, water) Real estate (management & development) Consultancy and Training Legal Services

Which areas do you feel you need the most support in? You can pick 3 options only.  

Human Resource ManagementGovernanceStarting a BusinessAccounting for my BusinessSales and MarketingProject and Time ManagementLeadership and ManagementOperations ManagementBusiness StrategyTaxChristian Principles in BusinessFinancial ProjectionsPitching to InvestorsOtherLegal

Please specify.

Would you prefer to be in a group of entrepreneurs with

Similar sectorSimilar support needsSimilar sector/Similar support needsNo preference

* We cannot guarantee that you will be placed in a group of entrepreneurs from your sector/with similar support needs

	Very familiar	Somewhat familiar	Neither familiar nor unfamiliar	Somewhat unfamiliar	Unfamiliar
How familiar are you with coaching?

Have you received coaching before?

YesNo

Which payment mode do you prefer?

1 installment - Ksh 12,000

2 Installments - Ksh 6,000 and clear the remaining balance before the 3rd coaching session.3 Installments - Ksh 4,000 each

What are you hoping to get out of this coaching program? Share any specific expectations in 1 or 2 sentences.