Road To Growth Application Form - Kenya

The Road To Growth Programme is designed to support growth stage, women-led businesses to scale and access needed finance. The fully online 7-week course covers growth strategy, digital marketing, financial accounting and projections, and establishing capital needs and talking to capital providers.

Positions in this competitive training programme will be offered to 200 women entrepreneurs who have 3+ employees, demonstrate a strong growth trajectory and deep understanding of their business and its goals, and are looking to access finance.

We have drastically subsidized the cost of the programme, you will be required to pay a course fee of Ksh 5,000 only (Ksh 2000 Registration, Ksh 3000 balance), payable within the course of the programme. (Limited scholarship opportunities available)

Shortlisted candidates will be contacted after the closing date. If you do not hear from us within 4-5 weeks, please assume that on this occasion that your application has been unsuccessful. Please do not let this deter you from your entrepreneurial goal for your business.

For any inquiries contact, 0746742358.

Entrepreneur Information

First Name 

Last Name

What is your Phone Number?

Sample Format +254123456789

What is your WhatsApp Number? if different from the number above.

Email

County of residence?

Please select... Mombasa Kwale Kilifi Tana River Lamu Taita/Taveta Garissa Wajir Mandera Marsabit Isiolo Meru Tharaka-Nithi Embu Kitui Machakos Makueni Nyandarua Nyeri Kirinyaga Murang'a Kiambu Turkana West Pokot Samburu Trans Nzoia Uasin Gishu Elgeyo/Marakwet Nandi Baringo Laikipia Nakuru Narok Kajiado Kericho Bomet Kakamega Vihiga Bungoma Busia Siaya Kisumu Homa Bay Migori Kisii Nyamira Nairobi

What is your age?

Less than 25 Years
25- 35 Years
36- 50 Years
More than 50 Years

Level of education?

Primary
Secondary
College/University
Post Graduate
PhDCurrent Student

Level of English?

Little
Some
Fluent

How did you hear about this opportunity?

Facebook page	Twitter
Instagram	LinkedIn
HerVenture App user	TV
Word of Mouth	HerVenture Kenya website
Sinapis website	Sinapis Staff
Newspaper	Radio
Church	Whatsapp
Workshops/Events	Other
Sinapis Brand Ambassador	Road to Growth Brand Ambassador
Beatrice Waithira

Please specify

Do you have access to a computer or laptop?

Yes
No

Do you have access to a stable internet connection?

Yes
No

Are you the founder or co-founder of the business?

Yes
No

How many hours do you have available to take this course per week?

0-3 hours
4-7 hours
8-11 hours
12+ hours

Which areas do you feel you need the most support in? Tick all that apply.  

Human Resource ManagementGovernanceUnderstanding CustomersDigital MarketingAccountingFinancial ProjectionsProject and Time ManagementLeadership and ManagementOperations ManagementBusiness StrategyFinancing Decisions / Talking to FundersOther

Please specify.

Where do you want your business to be in the next 3 years? Please explain the goal of your business (Minimum 30 words)

What do you hope to get out of this course? Please explain your motivations (Minimum 30 words)

Business Details

Do you have an existing operating business?  

YesNo

What is the name of your business?

Please indicate your Business Facebook page or website.

Do you run your business as a side hustle or full-time?

Side-Hustle
Full-Time

What sector does your business operate in?  

Please select... Agriculture (crop & animal production, forestry, and fishing, etc.) Manufacturing (food processing, crafts, apparel, printing, chemicals, furniture, etc.) Retail Trade (resale of new and used goods to public for household consumption) Services (cleaning, education, financial services, healthcare, ICT, publishing, real estate, restaurant, tourism, etc.) Wholesale Trade (resale of new and used goods to retailers and other organizations or acting as a broker)

How would you classify the current stage of your business?  

Please select... Problem Identification: Identified a problem, but not yet an idea for the solution. Idea/Concept: Formed an idea, but haven't yet built a prototype or taken your product/service to market. Early Customer Traction/Revenues: Product in small markets, generating early revenues, and you are likely making first hires. Starting to See Strong Revenue Traction: Product or service sells consistently, generating revenues, making key hires. Solidifying Operations: Acquiring more customers, making key high-level hires and moving toward positive cash flow. Rapid Growth: Seeing strong, consistent customer demand, generating significant revenues and are cash flow positive. Mature Business or Exit: Significant revenues and a full team, well recognized brand, venture has scaled up. Failed

How long have you been running your business? (Years)  

Is your business officially registered? (i.e. you have a business certificate or certificate of incorporation).

YesNo

What is the date your business was officially registered?

Type of registration?

For ProfitNot For profit Other

What problem is your business solving?  

Who are your main competitors and what makes you different?

Page 3

Financial Information

On average how much revenue (also known as sales or turnover) (in Ksh) does your business currently generate per month? (an estimate is fine). If you have multiple businesses, please provide the combined total. If you have a business, but not generating revenue, put 0. 

0 Ksh
Less Ksh 100,000
Ksh 100,000- 200,000
Ksh 200,001- 400,000Ksh 400,001- 1,000,000More than Ksh 1,000,000

On average how much revenue(also known as sales or turnover) (in Ksh) did your business generate last year per month? (An estimate is fine). If you have multiple businesses, please provide the combined total. If you have a business, but not generating revenue, put 0. 

0 Ksh
Less Ksh 100,000
Ksh 100,000- 200,000Ksh 201,000- 400,000Ksh 400,001- 1,000,000More than Ksh 1,000,000

How many full-time paid employees (including yourself) do you currently have? If you have multiple businesses, please provide the combined total. If its is just yourself, please put 1.

1
2-5
6-20
21-100More than 100

How many part-time employees (including casual laborers) do you currently have? If you have multiple businesses, please provide the combined total.

1
2-5
6-20
21-100More than 100

Which statement best explains your current business financial records?  

I keep records in a notebook
I don't currently track recordsI keep records on Excel
I use financial software to keep recordsI have regularly audited financial accounts

What is the "unit" that your business sells? How much does it cost to produce and how much do you sell it for?

Have you previously received commercial or institutional funding?

Yes
No

Are you planning to seek funding in the next 3 years to meet your business growth objectives?

Yes
No

What type of funding might you be looking for? (Select all that apply)

Equity InvestmentDebt funding
Grant/philanthropic fundingGovernment fundingI am not yet sure