Skill Acquisition form

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STRENGTHENING COMMUNITIES UNITED KINGDOM
SMALL BUSINESS GRANT APPLICATION
PERSONAL INFORMATION
Name*

First NameLast Name
Gender*

MaleFemalePreffered not say
Phone Number*

country CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Marital Status*

SingleMarriedWidowed
RELATIONSHIP TO STUDENT
Are you a parent or guardian of a student enrolled in our skill acquisition program?*

YesNo
If yes please fill in with the right details below

Name of the Student: ___________________________
Skill the Student Is Learning: ___________________________
Date Student Joined the Program (if known): ___________________________
BUSINESS INFORMATION
Do you currently run a business?*

YesNo
If yes please fill in the details below*

Fashion and BeautyFood & CateringTrading & RetailHandiwork & Artisan ServicesCreative & Digital ServicesAgriculture and LifestockProduct Making / Home EssentialsServices
How long have you been in business?*

Less than 6 months6 months – 1 yearOver 1 year
Business Address: ___________________________
Do you have a market/shop space or operate from home?*

Market/shopHomeMobile
GRANT REQUEST DETAILS
How much are you requesting? ₦____________________
What will the funds be used for?*

Equipment/toolsRaw materialsShop rentBusiness expansionOther
Please specify____________________
Briefly describe how this grant will improve your business or family life:
Are you willing to attend a short training or orientation before receiving the grant?*

YesNo
DECLARATION & CONSENT
I hereby declare that the information provided above is true and accurate to the best of my knowledge. I understand that any false information may disqualify me from receiving the grant. I also agree to use the funds strictly for the intended business purpose.*

AcceptDo not Accept
Should be Empty:

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