CBA Business Plan Season 2021+

Funding Application for EXISTING Companies

via the CBA Accelerator Program
Name of your Business *
Are you and your business based in Kenya? *
We're sorry - at this time, CBA is only accepting Funding Applications from Kenya-based entrepeneurs for Kenya-based businesses.

Please contact us via our website contact page in case of any questions.
Your Full Name *

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
example@example.com
Confirm your e-mail *
example@example.com
Cellphone number *
Birth Date *

Month Day Year
At CBA, we take our financial transactions seriously and therefore request a credit report on each applicant. This information is kept in confidence, and is used only for the purpose of evaluating investment by CBA. For this reason, we request your National ID number.
Enter your Kenyan National ID number: *
We always like to have some insight into the character of the people we work with - if you have not previously taken the CBA Entrepreneur Quiz or forgot your results code, then click here to open the Quiz in a new window and take the quiz right now.

Alternatively, visit https://hipaa.jotform.com/32300918324850
Enter your entrepreneur quiz results code here: *
Check ALL statements below that apply to you *

I was a Compassion sponsor child I am a Christian I attend church regularly I graduated high school I graduated trade school I attend college or university I graduated university none of the above
What university are you attending / did you attend?
When will you / did you graduate?
What is/was your major field of study?
Give a brief outline of your prior business & work experience *

How much money have you already invested in this business? *
Kshs
How much more money will you be investing in this next round with CBA? *
Kshs
How much money are you requesting CBA to invest in your business *
Kshs
Provide a detailed explanation how any funds invested by CBA would be used. List specific projects or initiatives that will be undertaken as a result of CBA funding. *

0/200
For each initiative or purchase listed above for use of CBA funds, please relate that to the creation of NEW JOBS at YOUR COMPANY. Be as specific as you can about the number and types of jobs that will result from CBA investment. *

0/200

Add any other comments you wish share with us in the space below: *

0/200
In 50 words or less, please tell us why you are seeking CBA assistance *

0/50
Should be Empty:

	Full Time	Part TIme
Sales & Marketing
Production & Warehouse
Administration & Finance
Distribution & Delivery
Executive & Management
Other
TOTAL

	Next Year	Year 2	Year 3
Total Revenue (Collections all sources)
Net Profit (or Loss)
# employees at start of year
# employees at year-end

Funding Application for EXISTING Companies