LED Entrepreneurship Summit Application

1. Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

2. Is this an application for the Protocol@Work Summit? *This question is required.

Country
Province
Councils

All narrative sections must follow the editorial guidelines which can be found here.

If you wish to download a blank copy of the survey before you start click on the link below, however only online applications will be considered so you will need to come back and complete your entry online:
English

DEMOGRAPHIC DATA

4. Entrepreneur Name and Surname *This question is required.

First Name

Last Name

PARTICIPATION

5. Business name *This question is required.

6. How long in business *This question is required.

7. Type of business *This question is required.

8. Current status of the business *This question is required.

Number of customers coming to the business per month
Number of sales each month
Number of full-time staff employed
Number of patr-time staff employed
Number of products sold in the business
Monthly income from the business
Monthly expenses in the business
Assessment of level of customer service %
Number of new markets to sell to
Other (notes)

9. Targets for next six months *This question is required.

Space Cell	Targets for next six months	What actions will be taken to achieve these targets
Number of customers coming to the business per month	Number of customers coming to the business per month: Targets for next six months	Number of customers coming to the business per month: What actions will be taken to achieve these targets
Number of sales each month	Number of sales each month: Targets for next six months	Number of sales each month: What actions will be taken to achieve these targets
Number of full-time staff employed	Number of full-time staff employed: Targets for next six months	Number of full-time staff employed: What actions will be taken to achieve these targets
Number of part-time staff employed	Number of part-time staff employed: Targets for next six months	Number of part-time staff employed: What actions will be taken to achieve these targets
Number of products sold in the business	Number of products sold in the business: Targets for next six months	Number of products sold in the business: What actions will be taken to achieve these targets
Monthly income from the business	Monthly income from the business: Targets for next six months	Monthly income from the business: What actions will be taken to achieve these targets
Monthly expenses in the business	Monthly expenses in the business: Targets for next six months	Monthly expenses in the business: What actions will be taken to achieve these targets
Assessment of level of customer service %	Assessment of level of customer service %: Targets for next six months	Assessment of level of customer service %: What actions will be taken to achieve these targets
Number of new markets to sell to	Number of new markets to sell to: Targets for next six months	Number of new markets to sell to: What actions will be taken to achieve these targets
Other (notes)	Other (notes): Targets for next six months	Other (notes): What actions will be taken to achieve these targets

9. Which phases of the GL programme did you attend? (select all that you apply) *This question is required.

Life skills & Entrepreneurship Training (LED Phase Life skills and Entrepreneurship Training (LED Phase 1
Personal Financial Management and Access to Finance (LED Phase 2)
Enterprise Development (LED Phase 3)
Backstopping
Mentorship

9. Did you miss one or more of these sessions? *This question is required.

9. If you missed any of these phases, please say why (tick all that apply) *This question is required.

Not applicable – I attended all.
Did not have enough time due to other responsibilities eg at home.
I was not personally and emotionally able to attend and participate.
I found a job.
I was not finding the programme helpful.
The programme was too difficult.
My husband or partner wouldn’t let me go to some of the workshops.
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

BUSINESS AND PERSONAL PLANS

Did you complete a business plan as part of the programme?

*This question is required.

Did you follow the business plan?

*This question is required.

10.

Did you complete a personal plan as part of the programme?

*This question is required.

10.

Did you follow the personal plan?

*This question is required.

10. If you did not follow the plan, please say why (tick all that apply)

Please enter an 'other' value for this selection.

10. If you did follow your personal development plan please describe in your own words what has changed