Information Session Registration Form

Application Stage

Country of Interest

Product registered for

Thank you for your interest in attending our info session. Kindly register below:

First Name

Last Name

Select Your Country of Residence

KenyaUgandaRwandaOther

What is your Phone Number?

Sample Format +254123456789

What is your Phone Number?

Sample Format +256123456789

What is your Phone Number?

Sample Format +250123456789

What is your Phone Number?

What is your WhatsApp Number?

Sample Format +254123456789

What is your WhatsApp Number?

Sample Format +256123456789

What is your WhatsApp Number?

Sample Format +250123456789

What is your WhatsApp Number?

Email

Please select your city of residence

Nairobi	Mombasa
Kisumu	Thika
Nakuru	Eldoret
Other

Please specify

Refer a friend? Friends Name

Friend's Phone Number?

What is the date of the Information Session you are applying to?

Introduction to Sinapis

How did you hear about this Information Session?

Sinapis Facebook page	Sinapis Twitter page
Sinapis website	Sinapis Alumni
Sinapis Staff	LinkedIn
Newspaper	Eventbrite
Radio	TV
Church	Word of Mouth
Other	Whatsapp
Sinapis Instagram Page	Road to Growth
HerVenture

Please specify

Please specify which source

Did you know about Sinapis before registering for this Information Session?

YesNo

What would you like to know about Sinapis? (Choose all that apply)

Details about Sinapis programsThe cost of Sinapis programs
Duration of Sinapis programs The relevance of Sinapis programs to my business

Is there anything else you would like to learn about Sinapis?

Business Details

Do you have an existing operating business?

YesNo

What is the name of your business?

If not, do you have a specific business idea?

If no business name, the below creates a No Business Account

What sector does your business operate in?

Please describe your business.

When did your businesses operations start?

What are your aspirations for the business? How do you want to grow it?

Contact Information