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Application for RTKCs to Pilot Business Planning Materials

Overview of RTKC and Geographical Market

Application for RTKCs to Pilot Business Planning Materials

Before filing out this application, please review the full instructions: http://cleancookstoves.org/binary-data/ATTACHMENT/file/000/000/249-1.pdf

Fill in this online form if you would like to be one of 3 RTKCs to work with the Alliance and consultants:

to evaluate the target market, current and potential clients,
develop their RTKC’s business plans and financial models to scale revenues, diversify operations, and reduce reliance on grants,
share lessons with other RTKCs,
and support the development of a RTKC business planning tool.

Note that many of the application responses are limited to 100 words. Please also prepare these files for uploading:

financial statements from 2013 - 2015,
document with 1 page biographies of the relevant staff members, and
"RTKC revenue and grants template" filled in with your organization's information (http://cleancookstoves.org/binary-data/ATTACHMENT/file/000/000/248-1.xlsx)

Applications from interested RTKCs are due July 15, 2015.

1. Name of Organization *This question is required.

2. Address *This question is required.

3. City *This question is required.

4. Country *This question is required.

Please name one person who will be the point of contact for this project:

5. Given Name *This question is required.

6. Family Name *This question is required.

7. Email Address *This question is required. This question requires a valid email address.

8. Phone Number *This question is required.

9. In what year did your organization begin testing stoves/fuels? *This question is required.

10. What is your organization's current legal structure? Select all that apply. *This question is required.

Government
University
NGO
Business
Other (required) Please enter an 'other' value for this selection. * This question is required.

11. Provide a brief introduction to your organization, including an overview of its primary areas of focus, core value proposition, and ability to grow? *This question is required.

12. What plans does your organization have, if any, to increase its profibility in the next 12 - 24 months? *This question is required.

13. What activities/services is your organization capable of performing with existing resources and technology? Select all that apply. *This question is required.

Stove Testing
Fuel Testing
Laboratory Testing
Field Testing
Design Recommendations
Training Stakeholders or Other Testing Centers
Other (required) Please enter an 'other' value for this selection. * This question is required.

14. What activities/services has your organization performed in 2014 - 2015? Select all that apply. *This question is required.

Stove Testing
Fuel Testing
Laboratory Testing
Field Testing
Design Recommendations
Training Stakeholders or Other Testing Centers
Other (required) Please enter an 'other' value for this selection. * This question is required.

15. In 2014, how many unique stove models and fuel products did your organization test? *This question is required.

16. In 2014, how many unique clients did your testing center serve? *This question is required.

17. Describe your customers, including their goals and legal structures.

18. Please fill out and upload the "RTKC revenue and grants template." The blank template is available [FILL IN WITH URL]. *This question is required.

File: {{filename}} delete

19. Please upload one file with your organization's financial statements for 2013 - 2015 (income statement, balance sheet, cash flow statement).

File: {{filename}} delete

20. What regions does your organization serve? *This question is required.

21. How many unique stove/fuel models and products exist in the regions that you serve? *This question is required.

22. Are there are other testing centers in your region? If yes, how does your organization differentiate itself? *This question is required.

23. Why are you interested in participating in this activity? How will your organization benefit from participation? *This question is required.

24. Please complete the table with your proposed business planning team. The number of days listed are our current best estimates of how much active time will be required for that activity. The active time may be spread over a longer period of time. *This question is required.

	Name	Title and Role	E-mail Address	Yes	No	Yes	No	Yes	No	Yes	No
	Name	Title and Role	E-mail Address	Attend Initial Strategy Workshop (2 days)		Business Strategy Planning (7 days)		Financial Modeling (7 days)		Attend Final Strategy Workshop (2 days)
1	Name	Title and Role	E-mail Address	1: Attend Initial Strategy Workshop (2 days): Yes	1: Attend Initial Strategy Workshop (2 days): No	1: Business Strategy Planning (7 days): Yes	1: Business Strategy Planning (7 days): No	1: Financial Modeling (7 days): Yes	1: Financial Modeling (7 days): No	1: Attend Final Strategy Workshop (2 days): Yes	1: Attend Final Strategy Workshop (2 days): No
2	Name	Title and Role	E-mail Address	2: Attend Initial Strategy Workshop (2 days): Yes	2: Attend Initial Strategy Workshop (2 days): No	2: Business Strategy Planning (7 days): Yes	2: Business Strategy Planning (7 days): No	2: Financial Modeling (7 days): Yes	2: Financial Modeling (7 days): No	2: Attend Final Strategy Workshop (2 days): Yes	2: Attend Final Strategy Workshop (2 days): No
3	Name	Title and Role	E-mail Address	3: Attend Initial Strategy Workshop (2 days): Yes	3: Attend Initial Strategy Workshop (2 days): No	3: Business Strategy Planning (7 days): Yes	3: Business Strategy Planning (7 days): No	3: Financial Modeling (7 days): Yes	3: Financial Modeling (7 days): No	3: Attend Final Strategy Workshop (2 days): Yes	3: Attend Final Strategy Workshop (2 days): No
4	Name	Title and Role	E-mail Address	4: Attend Initial Strategy Workshop (2 days): Yes	4: Attend Initial Strategy Workshop (2 days): No	4: Business Strategy Planning (7 days): Yes	4: Business Strategy Planning (7 days): No	4: Financial Modeling (7 days): Yes	4: Financial Modeling (7 days): No	4: Attend Final Strategy Workshop (2 days): Yes	4: Attend Final Strategy Workshop (2 days): No
5	Name	Title and Role	E-mail Address	5: Attend Initial Strategy Workshop (2 days): Yes	5: Attend Initial Strategy Workshop (2 days): No	5: Business Strategy Planning (7 days): Yes	5: Business Strategy Planning (7 days): No	5: Financial Modeling (7 days): Yes	5: Financial Modeling (7 days): No	5: Attend Final Strategy Workshop (2 days): Yes	5: Attend Final Strategy Workshop (2 days): No
6	Name	Title and Role	E-mail Address	6: Attend Initial Strategy Workshop (2 days): Yes	6: Attend Initial Strategy Workshop (2 days): No	6: Business Strategy Planning (7 days): Yes	6: Business Strategy Planning (7 days): No	6: Financial Modeling (7 days): Yes	6: Financial Modeling (7 days): No	6: Attend Final Strategy Workshop (2 days): Yes	6: Attend Final Strategy Workshop (2 days): No

25. Describe the skills of your organization's team, including key strengths and weaknesses. Be sure to include the following areas: technical capabilities, financial management, business strategy, sales, marketing, and promotion.

26. Upload a single file with the short biographies of the project team members above, with no more than one page per team member.

File: {{filename}} delete

27. Does your organization currently have a Conflict of Interest Policy in place? *This question is required.

28. What, if any, conflicts of interest does your organization currently have and how are you planning to mitigate them? *This question is required.

29. Does your testing center participate in any of the following? *This question is required.

In-house design of stoves/fuels, separately from design support for partners
Manufacturing of Stoves/Fuels
Sales of Stoves/Fuels
Licensing of Stoves and Fuel Designs