County-Based BDS Firm Application Form

County-Based BDS Firm Application Form

Strengthening Kenya’s Local BDS Ecosystem for Agri-MSME Transformation (Powered by Africa Turnaround Ltd in partnership with IFC)
Section 1: Organization Information
Organization Name*
Year of Registration*
Business Registration Number*
County of Operation*
Office Physical Address
Website (if available)
Primary Contact Person
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Title*
Type of BDS Services Offered*

TrainingCoachingBusiness PlanningFinancial LiteracyLinkages
Years of BDS Experience*
Brief Overview of the Organization's BDS Work (Max 200 words)*

0/200
Upload Company Profile (PDF or DOC)*

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CV of Principal Consultant (Firm Owner)*

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Section 2: Impact & Sustainability
Experience Working with Agri-MSMEs and Farmer Organizations*

0/1000
Describe Your Firm’s Local Presence and Long-Term Sustainability Strategy*

0/1000
Previous Projects or Partners (if any)*
Briefly Explain Why You Want to Join the ATL–IFC County BDS Program*

0/200

Section 4: Digital Readiness
Do your trainers/coaches have access to a computer and smartphone? *
Do your trainers/coaches have regular access to the internet for training purposes?*
Are you currently using any digital tools for BDS delivery? (Yes/No – If yes, specify)*

0/100
Commitment and Declaration
Confirm the Following*

We are willing to sign an engagement agreement with ATLWe commit to nominate and support at least 5 trainers/coachesWe will participate in all ATL-required certification activitiesWe will utilize ATL’s blended platform and digital toolsWe agree to participate in ATL’s knowledge-sharing platform
Authorized Representative Name*
Designation *
Date*

MonthDayYear
Date
Confirmation*

I confirm that the information provided is true and complete to the best of my knowledge.
Should be Empty:

Section 1: Organization Information