Language
English (US)
French (France)
Pathways to Scale
Hello, and thank you for your interest in applying to the Pathways to Scale (P2S) Program in Ethiopia, Ghana, Nigeria & Rwanda! Kindly note that the information collected here will serve as an initial due diligence process.
To use this form in English/ French — click the flag button at the top right corner and select your language/ Pour utiliser ce formulaire en anglais ou en français, cliquez sur l’icône du drapeau dans le coin supérieur droit et sélectionnez votre langue
DATA PRIVACY & CONSENT NOTICE.
Are you completing the application for yourself or are you helping someone to fill it?
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I am completing it myself
I am completing it on a participant's behalf
What is your full name?
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Please read the attached consent form carefully and sign to indicate your consent. If you are supporting a participant kindly read the data policy aloud to them
I confirm that I have read and understood the consent form above
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I voluntarily agree to share my data with Pathways to Scale, Mastercard Foundation, and authorized third parties as described in the consent form.
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Agree
Disagree
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Personal Information
Please type in your first name — the same one you have on your ID.
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Please type in your middle name
Please type in your last name — the same one you have on your ID.
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What is your email address?
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example@example.com
What gender do you identify as?
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Female
Male
Other
Prefer not to say
How old are you?
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Please share with us the phone number you want to use for reaching out to you, ideally with an Whatsapp account associated with it (Kindly change the country code too depending on your number's location)
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What's the name of your business?
What is your business website? (optional)
What is your main role in the business?
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I own and run it
I co-own it with someone
I manage it for someone else
I help sometimes
Can you make big decisions like buying, hiring, or growth by yourself?
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Yes, I decide most or all things
I decide some, but I check with the owner sometimes
No, the owner decides most things
Have you ever taken part in a support program, funding or training funded by Mastercard Foundation?
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Yes
No
I don't know
Which organization ran that Mastercard Foundation program?
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Which Mastercard Foundation program did you participate in?
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In which year did you participate in this program?
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Prior to 2020
2021
2022
2023
2024
2025
Which organization referred you?
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Vanguard Economics Ltd
Seedstars/ WUSC
Other
What is the name of the City/town where you live most of the time?
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What type of Settlement do you live in?
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Rural (Areas far from the city. Mostly farmland, or small villages with very few tarred roads or big shops)
Peri-urban (Places on the edge of a big city. These are areas that are currently developing or "growing" into a city)
Urban (Developed areas like the heart of the city, state capitals, or major commercial hubs. There are many buildings, heavy traffic, and constant business activity.)
Can you share your main business address with us?
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What type of settlement is your business located in?
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Rural (Areas far from the city. Mostly farmland, or small villages with very few tarred roads or big shops)
Peri-urban (Places on the edge of a big city. These are areas that are currently developing or "growing" into a city)
Urban (Developed areas like the heart of the city, state capitals, or major commercial hubs. There are many buildings, heavy traffic, and constant business activity.)
Do you work with rural communities (e.g., buy from them, provide services to, or employ women in rural areas)?
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Yes
No
I'm not sure
Please explain how
How long have you been running this business?
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Less than 1 year
1-2 years
2-3 years
4-6 years
7-10 years
More than 10 years
When did your business officially start operations? Please provide the month and year.
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What is your business's registration status?
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Registered as Limited Liability Company (Ltd)
Registered as Public Limited Company (PLC)
Registered as Partnership
Registered as Business Name (Sole Proprietor)
Incorporated Trustees
Not registered (informal)
Country of incorporation?
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Which other countries do you have operations in? Please list all that apply in individual rows
What is your total yearly Revenue — about how much money comes into your business each year? (Answer in USD.)
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After paying all your costs, about how much profit does your business make in a typical year? (Answer in USD)
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What industry does your business operate in?
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Input Supply
Production (Crops)
Production (Livestock & Poultry)
Production (Aquaculture)
Processing / Value Addition
Aggregation / Storage
Distribution / Transport
Marketing / Sales
Export
Agri-services
Agri-tech
Financial Services
Tourism
Other
Please describe your business in more detail. What do you sell or offer in your business?
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Where do you need support on (Select all that apply)?
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Financial Support
Equipment or Resource Procurement
Mentorship and Advisory Services
Technical Training / Capacity Building
Market Access and Networking
Do you currently have the ability to participate in online training or coaching sessions (e.g. via Zoom, WhatsApp video, or similar tools)?
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Yes – I have reliable internet access and a suitable device (smartphone or computer)
Yes – but my internet access is limited or unstable
No – I do not currently have reliable internet access or a suitable device
Which device would you primarily use to join online sessions?
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Smartphone
Laptop / desktop computer
Tablet
I do not have access to any of these consistently
I'll use a family member/friend's smartphone/laptop/tablet
How many people work in your business in total (including yourself)?
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Do you have managers or functional heads in your business (e.g., operations manager, sales manager, finance officer)?
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Yes, I have 2 or more managers
Yes, I have 1 manager
No, I run everything myself
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Financial Verification Phase
What is your exact role in the business?
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Owner
CEO / Managing Director
Other C-level executive (CFO, CMO, COO, CTO)
Operations Manager
Finance Lead
Product Lead
Tech Lead
Other
What systems or tools do you use to run your business? Select all that apply.
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Accounting software (e.g., QuickBooks, Xero, Sage)
Point of Sale (POS) system
Inventory management system
Customer Relationship Management (CRM) software
Spreadsheets (Excel, Google Sheets)
Manual Records (notebooks, ledgers)
None
Please list your top 5 customers and estimate what percentage of your total sales each one represents. E.g local retailers, schools, farmers, etc...
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Rows
Name
% of sales
Customer 1
Customer 2
Customer 3
Customer 4
Customer 5
How many reliable suppliers do you have for your main products or materials?
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3 or more reliable suppliers
2 reliable suppliers
1 main supplier
No regular suppliers
Of your current employees, how many are women?
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If you receive this loan, how many new jobs do you realistically plan to create in the next 12 months?
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What types of jobs will these be? (Permanent, Casual, Contractors, please break down and explain)
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Financial Documentation & Verification
Please enter your actual monthly revenue for each of the last 6 months (starting with the most recent month).
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Rows
Amount (USD)
Month 1 (most recent)
Month 2
Month 3
Month 4
Month 5
Month 6 (oldest)
From your P&L statement, please provide:
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Rows
Amount (USD)
Total Revenue
Cost of Goods Sold (COGS)
Operating Expenses (rent, salaries, utilities, marketing, etc.)
Upload your latest 3 P&L statements.
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From your balance sheet, please provide:
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Rows
Amount (USD)
Current Assets (Cash, Receivables, Inventory)
Current Liabilities (Payables, Short-term Debt)
Upload your latest 3 balance sheet statements.
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Upload your latest 3 cashflow statements.
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What type of financial records do you maintain for your business?
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Audited financial statements (by external auditor)
CPA-reviewed financial statements
Professional bookkeeper maintains records
I maintain manual records (notebooks, Excel)
Upload your latest Tax Clearance Certificate (TCC). (Optional)
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Is your Tax Clearance Certificate current and valid?
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Yes, valid with no arrears
Valid but minor arrears (payment plan in place)
Major arrears or not current
Upload your complete asset register (list of all business assets with values). (Optional)
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Credit History & Loan Readiness
Have you taken business loans before?
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Yes, multiple loans (2 or more)
Yes, one loan
No, never taken a business loan
Please describe your loan repayment history.
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All loans repaid fully on time
Repaid but with some delays (<30 days late)
Repaid but with significant delays (>30 days late)
Could not finish repaying some loans (defaulted)
Currently repaying on track
Upload loan statements, completion letters, or confirmation from previous lenders. (Optional)
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Do you have any loans you are still paying back?
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Yes
No
Please list all your current business loans. For each one, tell us the lender name, total loan amount, and monthly payment.
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Rows
Lender [Name]
Amount [USD]
Monthly Payment
Loan 1
Loan 2
Loan 3
If you receive this loan, what specifically will you use it for? Please describe in detail.
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How confident are you that your business can repay this loan on time?
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Very confident - we have strong cash flow and reserves
Confident - if sales stay at current levels
Somewhat confident - we'll need to grow sales
Not confident - we will need external support
Where will the money for loan repayments come from? (Select all that apply)
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From regular business operating profits
From business cash reserves
From new sales generated by the loan
From selling non-essential assets if needed
I don't know yet
If your business faces difficulties, what backup plans do you have to ensure loan repayment? (Select all that apply)
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Use business cash reserves
Borrow temporarily from partners/shareholders
Sell non-essential business assets
Negotiate payment plan with lender
Use personal guarantees or collateral
Reduce operating costs temporarily
I'm not sure
How confident do you feel in your ability to cope with financial or personal shocks? (1 = not confident, 5 = very confident)
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1
2
3
4
5
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Business Resilience & Risk Management
In the last 1-2 years, has your business experienced any major disruption (e.g., illness, supply issues, loss of major customer, pandemic impact)?
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Yes, and we recovered well
Yes, but recovery was difficult
No major disruptions
If yes, what did you do to keep the business going? How did you recover?
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Do you have committed credit lines or overdraft facilities from any bank?
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Yes, established credit line (formal approval)
Yes, informal arrangement with bank
No
Do you have business insurance coverage? (Select all that apply)
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Property/asset insurance
Product liability insurance
Vehicle/transport insurance
Key person insurance
Business interruption insurance
None
Upload insurance certificates for all selected coverage types.
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Have you ever received funding or investment from any external organization (e.g. grants, loans, equity investment)?
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Yes
No
Please list the names of the organizations or funds that have provided your business with funding or investment
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e.g. Equity Bank, XYZ VC Fund
What type of funding did you receive?
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Grant
Loan
Equity investment
Other
Was any of this funding provided through a program supported by the Mastercard Foundation?
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Yes
No
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Regulatory Compliance & Governance
Do you have all required licenses and permits for your business?
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Yes, all current and valid
Most licenses current, some in renewal process
Missing some required licenses
No licenses
Upload copies of all business licenses, permits, and registrations. (Optional)
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If your business has a board of directors or partners, upload board resolution or partner consent authorizing this loan application. (Optional)
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List all shareholders/partners in your business:
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Name
% Ownership
Role
Shareholder 1
Shareholder 2
Shareholder 3
In the last 12 months, how many times have your business cheques or payments been returned or bounced?
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None
1-2 times
More than 2 times
Gender & Impact
Is the business female-led?
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Yes, the CEO / Founder / Managing Director is a woman
Yes, a woman is part of the senior management team (for example: Operations, Finance, or Commercial lead)
No, but women are the main workers or beneficiaries of the business
No
Is the business owned by women? (Select the option that best describes the ownership structure)
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Yes, Women own 100% of the business
Yes, women own more than 50% of the business
Yes, women own 25-50% of the business
Yes, women own less than 25% of the business
No, the business is not owned by women
Not sure
Who are the primary beneficiaries of your business’s products or services? (Select all that apply)
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Mostly women in rural areas
Mostly women in peri-urban areas
Mostly women in urban areas
Men and women equally
Other
How many young women (aged 18–35) do you currently employ in your business?
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On average, how much does a young woman employee (18–35) earn per month in your business? (Answer in USD)
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How does your product or service specifically help women (beyond employment)? (Select all that apply)
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Improves women’s access to essential services (health, energy, finance)
Increases women’s income or economic participation
Reduces a barrier that disproportionately affects women
Provides goods or services designed for women’s needs
Other
Describe how your business creates jobs for young rural or peri-urban women
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Indicate the number of women currently benefiting from your business (direct or indirect, including suppliers, distributors)
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Indicate the number of young rural/peri-urban women you expect to benefit with support from P2S
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What types of jobs are created for women? (Select all that apply)
Full-time employment
Part-time employment
Seasonal / contract work
Commission-based agent roles
Micro-entrepreneurship opportunities
Other
Are these jobs safe, dignified, and income-stable? (Select all that apply)
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Predictable and regular income
Safe working conditions
Access to training or skills development
Opportunities for income or career progression
Childcare support or flexible working arrangements
Health insurance or social protection (formal or informal)
Salary advance or emergency income support options
Respectful treatment and non-discriminatory practices
Other
Please briefly explain and provide examples: (2-4 sentences)
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BDS History
Have you accessed any Business Development Services (BDS) support before (training, coaching, mentoring, advisory)?
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Yes
No
What type of BDS support have you accessed before? (Select all that apply)
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Training
Coaching
Mentoring
Business advisory
Marketing & sales support
Finance / loan readiness support
Digital tools support
Other
Have you ever attended training on financial literacy or loan management?
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Yes
No
Additional Information
Are you currently displaced from your usual home?
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Yes
No
Prefer not to say
What best describes your current status?
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Internally Displaced Person (IDP)
Refugee
Asylum seeker
Returnee
Prefer not to say
Do you identify as a person with a disability (PWD)?
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Yes
No
What type of disability do you have? (Select all that apply)
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Visual
Hearing
Physical
Cognitive
Prefer not to say
Is there anything else you'd like to tell us about your business, your loan needs, or your growth plans?
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Declaration
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“I confirm that the above information is accurate to the best of my knowledge.”
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