TRADE REGIONAL INTEGRATION PROJECT (TRIP)
FOR EAST AFRICAN COMMUNITY
ENTERPRISE APPLICATION FORM
Candidate enterprises / women entrepreneurs need to fill-in this application form and return it before
the training workshops in the country, at the following email address: [email protected] .
1.
Coordinates of the woman entrepreneur
Family name:
Legal first names:
Digital ID picture
Usual name:
(recommended)
Birth date:
Sex:
(low resolution and
compressed when
saving the Word
document please)
Address:
Mobile phone:
Telephone:
Fax:
Email address(es):
Job title(s) within the enterprise:
2.
Education
(if university education, no need to mention secondary education)
Name of institution,
Attended
Diplomas and certificates
city and country
from/to
received
3.
Main domain(s) of study
Languages
Comprehension
English
French
Other:
1 Excellent, 2 very good, 3 passable, 4 difficult
Oral expression
Reading
Writing
INTERNATIONAL TRADE CENTRE
TRADE IMPACT FOR GOOD
Experience
4.
Professional experience
Employer name, domain of
activity, city and country
5.
from / to
Job title
Main responsibilities
Export experience (other than in the current enterprise)
Networking
6.
Involvement in professional associations, women associations, community, civil,
public or international activities
Application
7.
Please indicate how you came to know about this project and/or whether you or
your enterprise have been designated by a local professional or sectoral
association, or a business support/development institution, or any other
institution, to represent it within this project (if yes, which one?)
8.
Why do you wish to participate in this project?
9.
According to your own gut feel, what is enterprise competitiveness, particularly for
export markets? (please no scholastic definition nor theoretical academic discussion)
10. Enterprise coordinates
Registered name of the enterprise:
Institution, place and year of registration:
Commercial name of the enterprise:
Commercial names used for product offerings:
Street address:
Postal address:
Telephone:
Fax:
2
INTERNATIONAL TRADE CENTRE
TRADE IMPACT FOR GOOD
Email address(es):
Website:
Activity start year:
Social media:
Types of products/services offered:
Enterprise size as per local standards:
micro very small
small
medium
medium/large
large
I
micro very small
small
medium
medium/large
large
international standards:
Number of year-round regular employees:
Temporaries/seasonal employees (in full-time equivalent):
Employees profile:
% women
% youth
% poor
% disadvantaged
% family members
11. Does the enterprise favourise women’s, youth’s or poors’ employment? For what
reason and in which way?
12. Enterprise ownership
Ownership profile:
employees full ownership
full local ownership
subsidiary of national company
employees partial ownership
partial local ownership
subsidiary of international company
Percentage of the enterprise’s main processes/procedures (or even equipment) coming
from one or more large national or international company
100% 75%
50%
13. Exports:
Does the enterprise export?
v
25%
0%
Yes directly
Yes indirectly
no
occasionally
not very successfully
cross-border trading
suitcase trading
DHL or other courier
shared containers
full containers
wishes to export
Which types of products/services?
Towards which geographical
destinations?
sub-region
Europe
Gulf countries
India
rest of Africa
North America
Asia
China
Mainly towards which country(ies)?
Approximate exports as a percentage of total sales
current %
target %
14. Participations of the enterprise in other programmes aiming to develop enterprise
capabilities, and in particular enterprise management capabilities
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INTERNATIONAL TRADE CENTRE
EXPORT IMPACT FOR GOOD
15. Participations of the enterprise in other export development programmes
aiming to prepare for international markets or access them, or match the
enterprise with potential customers
16. Participations of the enterprise in other gender-centered business
programmes for the benefit of women
17. How does the enterprise intend to finance the actions which will result as
being necessary towards the implementation of an export strategy?
18.
Why does your enterprise need to benefit from this project?
19. Commitment
I hereby certify that the above declarations used in answer to the questions asked are, to the best of
my knowledge, truthful, complete and accurate.
If I am invited into and I accept to participate in this project, I commit to:
-
Personally attend all training workshops pertaining to the project;
-
Make myself available to facilitate the work of the Advisers of the project;
-
Welcome into the enterprise the Advisers of the project when necessary;
-
Share with the project’s Advisers (under a confidentiality agreement) the information
necessary for the success of the services offered.
I understand that I will receive no transport nor daily allowance, whether in full or partial.
I further certify that, in line with the policy framework for cooperation between United Nations
organizations and the private sector and civil society, and with the United Nations Global Compact , I
am not complicit in human rights abuses, I do not tolerate forced or compulsory labour or the use of
child labour, I am not involved in the sale or manufacture of anti-personnel mines or their
components, I am committed to the protection of the environment, and I work against all forms of
corruption, including extortion and bribery.
Name
Date
Signature