Vision to Purpose™ Incubation Programme - Application Form
Theme: Discover Yourself. Develop Your Potential. Build Sustainable Enterprises.
Thank you for your interest in the Vision to Purpose™ Incubation Programme.This 12-month journey is designed to help you discover your identity, unlock your potential, and build a sustainable enterprise that creates lasting impact.Please complete all sections of this form honestly and thoroughly. This information will be used to assess your suitability for the programme and to understand how we can best support you. PLEASE NOTE: Ensure you have read the programme overview before completing this form.
Section 1: Personal Details
Full Name:
First Name
Last Name
Date of Birth (Must be between 16–26 years old)
*
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender:
Male
Female
Contact Information:
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-000-000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Status:
Student
Graduate
Job Seeker
Aspiring Entrepreneur
Self-Employed
Employed (Full/Part-time)
Other
Highest Level of Education:
Secondary School
Certificate / Diploma
Bachelor's Degree
Master's Degree
Other
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Section 2: Your Journey & Motivation
Why do you want to join the Vision to Purpose™ Incubation Programme? (In 150-200 words, tell us about your motivation. What are you hoping to achieve personally and professionally? How does the programme's theme of "Discover Yourself. Develop Your Potential. Build Sustainable Enterprises." resonate with you?)
0/200
Please share a brief "Story of You." (In 150-200 words, tell us about a significant life experience that has shaped who you are today. What challenges have you overcome? What moments have defined your character and values?)
0/200
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Section 3: Self-Discovery & Purpose
Understanding Your Strengths & Values:
a) What are three (3) things you believe you are naturally good at? (Your talents/skills)
b) What are your top three (3) core values? (e.g., Integrity, Creativity, Family, Impact, Freedom, Excellence)
Identifying a Problem:
a) What is the single biggest problem you see in your community that you feel passionate about solving?
b) How does this problem personally affect you or people you care about?
Your Enterprise Idea (If you have one):
a) Do you currently have a business or enterprise idea?
Yes
No
b) If Yes, please briefly describe your idea. What product or service would you offer, and who would it help?
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Section 4: Personal Development & Readiness
Time Commitment: This is a 12-month programme requiring regular time for workshops, field assignments, and mentorship. Can you commit to dedicating approximately [e.g., 5-10 hours] per week to the programme activities?
Yes, I fully understand and commit to the time required.
I have some concerns about the time commitment
Mindset & Goals:
a) What is one (1) personal goal you want to achieve in the next 12 months?
b) What is one (1) professional or enterprise-related goal you want to achieve in the next 12 months?
c) Describe a time you failed at something. What did you learn from that experience? (This helps us understand your resilience and growth mindset).
Mentorship: A core part of this programme involves regular monthly one-on-one sessions with a mentor.
a) Why is having a mentor important to you?
b) What do you hope to gain from a mentor-mentee relationship?
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Section 5: Declaration & Agreement
Digital Footprint: Would you be open to your enterprise story or personal development journey being featured on HIM Consult LTD's social media, website, or promotional materials?
Yes, I am happy to share my story.
No, I would prefer to remain anonymous.
Data Protection: I consent to HIM CONSULT LTD collecting, storing, and processing my personal data for the sole purpose of evaluating my application and, if successful, administering the Vision to Purpose™ Incubation Programme.
Declaration: I hereby declare that all the information provided in this application is true and correct to the best of my knowledge.
Name
First Name
Last Name
Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supporting Documents to Upload (Optional but recommended)
CV/Resume:
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Academic Certificates or Transcripts:
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Letter of Recommendation (if any):
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Thank you for completing this application.
We will review your application and get back to you within [e.g., 5-7 working days]. If you are shortlisted, you will be invited for a brief interview to discuss your application further.For inquiries, please contact: HIM CONSULT LTD info@himconsult.com|| +256772951738
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