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APPLICATION FORM

PROSPECTIVE ENTREPRENEURIAL TRAINING PROGRAMME LEARNER

PERSONAL DETAILS

NAME:
SURNAME:
IDENTITY NUMBER:
GENDER
CONTACT NO 1:
CONTACT NO 2:
EMAIL ADDRESS
PHYSICAL ADDRESS: CODE:

DISABILITY Yes No Specify:


MARITAL STATUS SINGLE MARRIED WIDOWED OTHER

GENDER FEMALE MALE

ETHNIC GROUP BLACK COLOURED INDIAN WHITE OTHER

EDUCATIONAL INFORMATION

HIGHEST GRADE PASSED ( e.g. GRADE R – 12)


TERTIARY EDUCATION (e.g. Certificate
/Diploma/Degree etc – attach certified copy
OTHER

EMPLOYMENT HISTORY

ARE YOU CURRENTLY EMPLOYED YES NO

IF YES, EMPLOYMENT PERIOD


(DAYS/ MONTHS/ YEARS)

IF NO, INDICATE PREVIOUS WORK


EXPERIENCE (BRIEFLY)

ENTREPRENEURIAL TRAINING PROGRAMME


2020/2021
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ENTREPRENEURIAL ANALYSIS

1. DO YOU HAVE A BUSINESS IDEA? YES NO


(IF YES, FOLLOW THE QUESTIONS ON THE NEW BUSINESS BELOW)

2. ARE YOU CURRENTLY OPERATING YOUR OWN BUSINESS? YES NO


NO (IF NO, FOLLOW THE QUESTIONS ON THE NEW BUSINESS BELOW)
YES (IF YES, FOLLOW THE QUESTIONS ON THE EXISTING BUSINESS BELOW)

3. DO YOU HAVE A BUSINESS PLAN? YES NO


YES, (IF YES, REFER FOR EVALUATION) BELOW

NEW BUSINESS IDEA


QUESTION 1.

1.1. BRIEFLY EXPLAIN WHY DO YOU WANT TO START A BUSINESS?

1.2. BRIEFLY STATE THE TYPE OF BUSINESS WOULD YOU START?

1.3. STATE THE POTEINTIAL CLIENTS/ CUSTOMERS

STATE THE ESTIMATED AMOUNT REQUIRED TO START THE BUSINESS?

WHAT MANAGEMENT SKILLS/EXPERIENCE DO YOU HAVE TO START THE BUSINESS?

TICK THE RELEVANT BOX YES NO


A. DO YOU HAVE THE REQUIRED TECHINAL SKILLS FOR THE PROPOSED BUSINESS?

B. DO YOU HAVE FUNDS TO INVEST IN THE BUSINESS?

C. DO YOU HAVE EQUIPMENT TO START THE BUSINESS? IF YES PLEASE INDICATE

ENTREPRENEURIAL TRAINING PROGRAMME


2020/2021
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OPERATING BUSINESS
QUESTION 2.
2.1. BRIEFLY EXPLAIN WHAT BUSINESS YOU OWN/ OPERATE?

2.2. STATE HOW LONG YOUR BUSINESS HAS BEEN OPERATING?

2.3. BRIEFLY STATE WHY YOU STARTED THE BUSINESS?

2.4. STATE THE BUSINESS LOCATION?

2.5. WHO ARE YOUR CUSTOMERS/ CLIENTS?

WHAT MANAGEMENT SKILLS/EXPERIENCE DO YOU HAVE TO OPERATE THE BUSINESS?

TICK THE RELEVANT BOX YES NO


D. DO YOU HAVE THE REQUIRED TECHINAL SKILLS FOR THE BUSINESS? IF YES,
SPECIFY BELOW

GENERAL
QUESTION 3.
TICK THE RELEVANT BOX YES NO
3.1. HAVE YOU EVER RECEIVED ANY ENTREPRENEURSHIP TRAINING, IF YES
INDICATE BELOW: E.G. PROJECT MANAGEMENT, ETC. AND PROVIDE PROOF
OF THE TRAINING RECEIVED.

I, , the Applicant, hereby state that all the particulars contained in


this application are accurate. should any information be found to
be incorrect, I accept that the application is not valid and that the entity reserves the right to pursue legal action.

Please note that no action will be taken with regards to this application until the application form is complete. It is
the Applicant to ensure that the application is complete.

DATED ON THIS _________________________ DAY OF _________________________2020.

1. __________________________

2. __________________________ __________________________
SIGNATURE OF APPLICANT

ENTREPRENEURIAL TRAINING PROGRAMME


2020/2021
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