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First Name
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Middle Name
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Surname
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Age
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State of origin
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Residential address
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Email address
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Phone no.
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Highest level of education
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Social media handles
Which of these describe you:
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I want to make a transition from corporate employment to entrepreneurship.
I am preparing for retirement and wish to pivot to entrepreneurship.
I am an established entrepreneur seeking to scale or restructure my business.
I am an entrepreneur seeking to execute/ implement new business strategies.
Name of business
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Business address
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Industry
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Advertising & Marketing
Agriculture and Agribusiness
Automotive and Transportation
Construction and Engineering
E-commerce and Online Retail
Education and E-learning
Entertainment and Media
Fashion and Apparel
Financial Services
Food and Beverage Manufacturing
Health and Wellness Services
Information Technology and Tech
Logistics and Supply Chain Management
Manufacturing and Industrial Goods
Real Estate and Property Development
Renewable Energy and Sustainable Technologies
Telecommunications and Mobile Services
Tourism and Hospitality
Waste Management and Recycling
Other
No. of years in business
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Is your business registered with Corporate Affairs Commission (CAC)
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Yes
No
If yes, what year did you register your business?
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No. of full time employees
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No. of part time employees
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How much (in Naira) was your annual turnover for 2024 (Jan-Dec)
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How much (in Naira) was your annual turnover for 2023 (Jan-Dec)
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Have you started exporting your products to other countries?
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Yes
No
If yes, which countries?
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No of branches in Nigeria?
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No of international branches?
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Brief description of your business (not more than 150 words)
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Name of your current company
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Company address
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Industry
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Advertising & Marketing
Agriculture and Agribusiness
Automotive and Transportation
Construction and Engineering
E-commerce and Online Retail
Education and E-learning
Entertainment and Media
Fashion and Apparel
Financial Services
Food and Beverage Manufacturing
Health and Wellness Services
Information Technology and Tech
Logistics and Supply Chain Management
Manufacturing and Industrial Goods
Real Estate and Property Development
Renewable Energy and Sustainable Technologies
Telecommunications and Mobile Services
Tourism and Hospitality
Waste Management and Recycling
Other
Position held
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Executive / Leadership
Management
Supervisory
Professional / Specialist
Technical
Administrative
Support
Internship / Entry Level
How many years have you been in paid employment?
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What business ideas are you exploring or currently pursuing (not more than 50 words)
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Have you ever participated in any entrepreneurship or business training before now?
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Yes
No
If yes, please list them
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Have you been through any apprenticeship?
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Yes
No
If yes, what did you learn?
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Referee (Name, phone number, email)
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What are your expectations from the programme?
How did you learn about the programme
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LinkedIn
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Entrepreneur community
Recommended by family, friends, or colleagues
Blog or publication
Others
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