Email *
Full Names *
Surname First
Address *
Phone Number *
Date of birth *
State of Origin *
Local Government *
Personal Linkedln/Facebook/Instagram/Twitter Page *
Business Website/Social Media Link *
Do You Run A Business/An Enterprise? *
Is your organization registered with CAC? *
Name of Organisation *
Business Address *
Names, Number
Registration Number *
Date of Business Registration
Sector of Business *
Staff strength *
Give A Description of Your Business (250 Words Max.) *
Give A Description of Your 3-Year Growth Plan (200 Words Max.) *
Why did you start this business? (150 words max) *
Who are your target audience? (50 words max) *
Number of Active/Recent Customers
annual turnover *
DO YOU CONSENT TO PROVIDE DOCUMENTS AS PROOF AT ANY TIME IT MIGHT BE NEEDED DURING THE COURSE OF THE PROGRAM? *
WILL YOU BE ABLE VIRTUALLY AND PHYSICALLY PARTICIPATE IN TRAINING AND OTHER PROGRAM SESSIONS? *
KINDLY SHARE ANYTHING ELSE THAT YOU THINK WOULD QUALIFY YOU AS THE BEST FIT FOR THE PROGRAM