Name:

name

Address:

address

Email:

email

Business Address and website:

website

Highest education:
(list University or highest level of education completed)

education

How did you hear about Launch and Grow: Kenyan Women’s Entrepreneurial Leadership Program?

how

Do you have a valid US VISA?

valid

Have you ever been denied a US VISA?

denied

Tell us what inspired you to start a business?

yourself_1

How have you used your strengths to get where you are today? What are you good at?

yourself_2

What do you wish you were better at?

yourself_3

Why are you interested in this program? What do you hope to gain and accomplish?

yourself_4

Will your company responsabilities allow you to fully commit to the time requirements fot this program-both in person in Boston at Babson College in June 2016 as well as for the virtual commitments post June?

yourself_5

Please Attach an executive summary of your business including:

summary

1 Industry

1 Market served

1 Product or service

1 Revenues for 2016/17-projected 2018

1 Financial model

1 Competitors

1 Intellectual property owned

1 Any advisors

1 Formal and Informal Funding

Do you have sales outside of Kenya?

business_1

What specific actions/steps are you planning to expand your business?

business_2

What are the biggest barriers to your expansion?

business_3

How do you think this program will help your business grow?

business_4

Is there a social component to your existing business? If yes, please describe.

social_yes

If not, please describe a new idea for a high impact social venture (not necessarily related to

your current business)? Alternatively, please describe a social component you would like to add

to your current business.

social_no

Please attach your CV/Resume

cv