Join Us – CULTIVATE

Register for the Cultivate business skills training

The registration form below has five (5) sections. Please provide answers to all questions in order to proceed to the subsequent sections.

- Step 1 of 6

Section 1: General business contact information

1a. Name of business (legally registered business name) *

1b. Date business started trading *

1c. Date business registered *

1d. How is business registered *

Other (Please Specify) *

1e. Country of operation. *

Kenya
Tanzania
Ethiopia

1f. Specific town/ region/ County of Business operation *

1g. Full name of business owner *

First

Last

1h. Gender of business owner *

Male
Female

1i. Title of business owner *

1i. Other (Please specify) *

1j. Business owner’s highest educational qualification. *

1j. Other (please Specify)

1k. Email address *

1l. Business phone contact *

1m. Which smartphone do you use to access apps and the Internet? *

1m. Other - please specify the type of smartphone you use *

1n. Business website address- (please indicate N/A if business has no website) *

1o. Accessing online resources and tools is a core part of this programme. Do you have access to the Internet? *

1p. Where did you hear about this programme? *

1p. Other (please specify how you heard about this programme)

Section2: Business sector specifics and performance

2a. Value chain business operated in. *

Aquaculture
Sunflower
Grains and cereals
Horticulture
Coffee
Livestock (Dairy, poultry etc.)
Other (Please specify)

Other (Please specify) *

2b. Business position in the value chain *

Input Supplier
Processor
Trader
Exporter
Producer Group
Commercial Farm
Other – (specify)

Other – (specify) *

2c. Which trajectory best describes where your business is at? *

On the shelf – we’ve completely shut down and are not trading at all
Hibernating – we’ve temporarily ceased operations until the lockdown is lifted
Hanging on – we’re operating on a reduced basis (taking in any business we can get)
Recovering – we’ve been severely affected by the impact of the Covid-19 pandemic but managed to hang on and are recovering
Unchanged – we’re operating as usual (revenue/cost level has not decreased by more than 30%)
Same business growing – there’s a greater demand for our products/services (revenue has grown by more than 30%)
New business growing – we were severely impacted by the impact of the Covid-19 pandemic but were able to switch quickly to other products/services that are in demand

2d. What products/ commodities/ Services do you sell? *

2e. Who do you sell your products/commodities/ services to *

Direct consumers
Wholesalers/ traders
Export clients
Government institutions,
Others

Others *

2f. Does your business export any commodities? *

2g. If yes above, please list goods exported? *

2h. If yes above, please provide list of market (s)/Countries exported to. *

2i. Highest Monthly revenue in the last 12 months (in KES) *

2i. Highest Monthly revenue in the last 12 months (in TZS) *

2i. Highest Monthly revenue in the last 12 months (in ETB) *

2j. Lowest Monthly revenue in the last 12 months (in KES) *

2j. Lowest Monthly revenue in the last 12 months (in TZS) *

2j. Lowest Monthly revenue in the last 12 months (in ETB) *

2k. Average Monthly costs in the last 12 months (in KES) *

2k. Average Monthly costs in the last 12 months (in TZS) *

2k. Average Monthly costs in the last 12 months (in ETB) *

2l. Annual revenue for the last 12 months (In KES) *

2l. Annual revenue for the last 12 months (In TZS) *

2l. Annual revenue for the last 12 months (In ETB) *

2m. Total Business costs for the last 12 months (in KES) *

2m. Total Business costs for the last 12 months (in TZS) *

2m. Total Business costs for the last 12 months (in ETB) *

2n. Does your business source produce directly from farmers? *

2o. If yes above, how many farmers do you source from? *

2p. How many farmers are Men? *

2q. How many are Women farmers *

2r. Does your business supply inputs directly to farmers? *

2s. If yes above, how many farmers do you supply inputs? *

2t. How many of these farmers are men? *

2u. How many are Women? *

2v. Does your business have workers/employees? *

2w. If yes above, how many paid employees work for your business? *

2x-a. Please fill-in the Permanent/full-time MALE employees (This are all paid employees that are contracted for a term of one year or more and are working full shift) *

2x-b. Please fill-in the Permanent/full-time FEMALE employees (This are all paid employees that are contracted for a term of one year or more and are working full shift) *

2x-c. If yes above, please fill-in the Temporary MALE workers (This are all paid employees engaged on short-term basis usually less than a year) *

2x-d. If yes above, please fill-in the Temporary FEMALE workers (This are all paid employees engaged on short-term basis usually less than a year) *

2y. Has your business taken up financing in the last 12 months? *

2z. If yes above who provided financing? *

Bank
Microfinance
Investor
Grant from NGO.
Friends or family
Others ( Please specify)

Other (please specify) *

2aa. If yes above what was the purpose of the loan? *

Working capital
Asset purchase (Land, vehicles, building etc.)
Business expansion
Other (Please specify)

Other (Please specify) *

2bb. From your current level of financing, Will your business need additional financing in the next 12 to 24 months? *

2cc. If yes above, what amount of additional financing would be needed for the next 12 to 24 Months? *

2dd. If yes above, please indicate use of financing *

Working capital (daily running of the business)
Purchase of business asset
Business expansion
Other (Please specify)

Other (Please specify) *

Section 3: Business Capacity building section:

3a. Please list challenges you are currently facing in your business. *

Poor cash flow
Lack of financial management skills
Lack of working capital
Intensive competition
Lack of markets
Lack of growth plans
Low Staff capacity
Leadership capacity
Other (Please specify)

Other (Please specify) *

3b. Do you keep financial records for your business? *

3c. If yes above what financial records do you keep? *

3d. Do you use the financial records to make financial decision? *

3e. Have you received any training on business management skills before? *

3f. What specific training did you receive? *

Financial management
Business planning
Human resource management
Sales and Marketing
Others (please specify)

Others (please specify) *

3g. How was the training delivered *

Face to face training/ workshop
Online delivery.
Combination of online and face to face.
Other (please specify)

Other (please specify) *

3h. Please indicate training period (year). *

3j. Who paid for the training? *

Self
Training organisation
Cost shared between business and training organisation
Other (please specify)

Other (please specify) *

3k. If offered an opportunity for business skills training, would you be willing to pay for part of the training package/ services delivered to you? *

Section 4: Business aspirations

4a. What are you most concerned about when you think about your business right now? *

4b. Please provide a short description of your business aspiration and goals for the next 2 years. *

4c. Given everything that is happening around the Covid-19 pandemic, what is one specific outcome you hope to achieve for your business from this programme? *

Grow revenue
Reduce costs / cost management
Keep better records of my business' financial performance
Improve and adapt marketing and sales
Review business strategy and planning
Streamline operations
Manage my people better
Financial forecasting for my business
Other (please specify the specific outcome that you hope to achieve for your business through this programme)

Other (please specify the specific outcome that you hope to achieve for your business through this programme) *

4d. What is your motivation for participating in Cultivate program? Please rank options given below (4 being the most important and 1 being the least important) *

	1	2	3	4
Learn business financial management skills Expand my business	Learn business financial management skills Expand my business 1	Learn business financial management skills Expand my business 2	Learn business financial management skills Expand my business 3	Learn business financial management skills Expand my business 4
Learn customer management and business marketing skills	Learn customer management and business marketing skills 1	Learn customer management and business marketing skills 2	Learn customer management and business marketing skills 3	Learn customer management and business marketing skills 4
Learn on access and management of business financing	Learn on access and management of business financing 1	Learn on access and management of business financing 2	Learn on access and management of business financing 3	Learn on access and management of business financing 4
Learn how to develop a business plan for my business	Learn how to develop a business plan for my business 1	Learn how to develop a business plan for my business 2	Learn how to develop a business plan for my business 3	Learn how to develop a business plan for my business 4
Learn ways on value addition and provision of products and services	Learn ways on value addition and provision of products and services 1	Learn ways on value addition and provision of products and services 2	Learn ways on value addition and provision of products and services 3	Learn ways on value addition and provision of products and services 4

4e. Please rank your level of interest for each of the following Cultivate program areas (5 being the most important to you and 1 being the least important). *

	1	2	3	4	5
Business planning	Business planning 1	Business planning 2	Business planning 3	Business planning 4	Business planning 5
Market and customer management	Market and customer management 1	Market and customer management 2	Market and customer management 3	Market and customer management 4	Market and customer management 5
Business financial management	Business financial management 1	Business financial management 2	Business financial management 3	Business financial management 4	Business financial management 5
Value addition and provision of products and services	Value addition and provision of products and services 1	Value addition and provision of products and services 2	Value addition and provision of products and services 3	Value addition and provision of products and services 4	Value addition and provision of products and services 5
Business operations Management	Business operations Management 1	Business operations Management 2	Business operations Management 3	Business operations Management 4	Business operations Management 5

4f. Please give a description on anticipated plans for your business once you receive the Cultivate BDS training? *

Section 5: Commitment section

5a. If selected for this programme are you willing to co-pay the training amount? For Early stage businesses -USD 250 and for Growth stage businesses- USD 400. The full cost of training is far higher than this amount. *

5b. (Please tick each box below to confirm that you are aware of the programme requirements.) If selected for this programme, as the business owner, I commit to: *

Working seriously on ensuring the business survives and thrives throughout the programme
Participating in six 120-minute virtual/online sessions
Tracking your business’ growth by recording financial figures every month and submitting this to AMI and Farm Africa every month of the programme.
Tracking your business' annual growth by recording and sharing your business' annual performance data with AMI and Farm Africa at the beginning of the programme, and for 3 years after the programme
Getting online and access of AMI's and Farm Africa’s online resources, tools and courses.

Please note that any of business data above that you will share with AMI and Farm Africa shall not be shared externally but shall be used by the project to inform performance of businesses and contribute to the wider body of knowledge on Business Development for growing enterprises. All information shall be synthesized as averages to guide the consultants identify where to work with the business on). *

I consent to having this website collect my submitted information so they can respond to my inquiry.

Dear participant, you have successfully completed filling in the Cultivate registration form. If you need to preview your application form please click on "PREVIEW”. To finalize on the process please verify and click "SUBMIT."

Register for the Cultivate business skills training

Section 1: General business contact information

Section2: Business sector specifics and performance

Section 3: Business Capacity building section:

Section 4: Business aspirations

Section 5: Commitment section

Dear participant, you have successfully completed filling in the Cultivate registration form. If you need to preview your application form please click on "PREVIEW”. To finalize on the process please verify and click "SUBMIT."

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