CBA Incubator Funding Application

At this time, CBA is not accepting

Incubator Funding Applications

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Funding Application Form

The CBA is pleased to announce that funding requests are being accepted from entrepreneurs and businesses with plans for development of local employment within the country of KENYA.

If you are interested in financial and coaching suport for the launch or expansion of your business, please complete the form below. Once we have reviewed your application and wish to proceed, we will contact you regarding details and other information required -- so watch your email for details!

Only INCUBATOR funding applications using this form will be accepted.
FORM INSTRUCTIONS

There are 3 pages to complete this form, you can start anytime. The form allows 24 hours (from the same browser) to finish - so you can leave your work and come back later in case you are missing some information.

Please hit the "SUBMIT" button on the last page just once - you will receive an email confirmation of your submission once it is sent.

All information will be kept confidential to CBA.

Thank you and be blessed as you develop your business plans!

CBA

NOTE: If you are using a public computer, then it is recommended to clear the browser cache when finished.

Personal Info
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Confirm your e-mail*
Birth Date*

MonthDayYear
Cellphone number*
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 repayment ability of CBA Incubator Funding. For this reason, we request your National ID number.
Enter your Kenyan National ID number:*
Are you and your business based in Kenya?*
We generally require that our INCUBATOR funding applicants meet a minimum set of requirements - while these are not a fixed set of requirements for every applicant, they are an important screening criteria for CBA.

Applicants not meeting all or most of the criteria below are not likely to be successful in their application, so please check the list below carefully.
Check all that apply to you and your business for which you seek funding:*

Minimum 6 months operationsMonthly financial overview for past operationsMeasurable revenue growthA path to near-term fulltime employment in the company by the FounderA good view on near-term profitabilityCreation of new jobs in the coming 6-12 months
Please be sure to answer all of the above questions...
The application form will apear only after this is done.
We're sorry - at this time, CBA is only accepting Funding Applications from Kenya-based entrepeneurs for Kenya-based businesses.

Please click SUBMIT button below to be added to our mailing list for future notifications.

Thank you - CBA
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://www.jotform.com/241374054883359
Enter your entrepreneur quiz results code here:*
Check ALL statements below that apply to you*

I am a CBA workshop alumniI am a SINAPIS alumni - ASPIRE programI am a SINAPIS alumni - ACADEMY programI am a WISE Women graduateI was a Compassion sponsor childI am a ChristianI attend church regularlyI graduated high schoolI graduated trade schoolI attend college or universityI graduated university
Check any companies which you have been affiliated*

AK AdvisoryCompassionNavigators KenyaNoblestridePartners WorldwidePasson to ProfitPepea CapitalRose Womens FoundationSinapisSOMO AfriaUpscale ConsultingVisionFundVivifyWise WomenWylde InternationalNone of the above
When will you / did you graduate?
What university are you attending / did you attend?
What was your major field of study?
Business Status & Info
What Industry(-ies) does your business serve*

AgricultureConstructionConsultingEducationFinance/InsuranceHealthIT/SoftwarePersonal ServicesProperty/RealEstateRetailToursimTransportationOther
Have you already started your business?*

YesNo
When did you start your business?
Do you work full-time on the business?

Yes, it is my sole activityYes, mostlyA lot, but not full-timePart-timeHands-off with some supervision onlyInvestor onlyNot yet started
Please describe any income from other sources (employment, investments, etc)?
Monthly total of other income, in Kenya Shillings:

Under 10,00010-50k50-100k100-300k300-600k600k+
Are you starting this business alone?

YesNo, I will have partners to help start the company
List list the names of your partners, their field of study and year of graduation (1 per line)
When do you plan to start your business?
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
CBA Investment Estimates

enter all amounts in Kenya Shillings
What is the funding amount that you are requesting from CBA?*
max Ks. 200,000
What is the high-range investment needed from CBA into your business?
How many full-time equivalent persons do you expect to employ after 1 year?*
How many full-time equivalent persons do you expect to employ after 3 years?*
How many of these employees do you foresee to be family members or relatives?
Revenue Estimates

enter all amounts in Kenya Shillings
What is the estimated revenue in the 1st year of operations? Enter expected revenue for last 12 months if your company is already running*
What is the estimated revenue in the 2nd year of operations? Enter expected revenue for the coming 12 months if your company is already running*
What is the estimated revenue in the 3rd year of operations? Enter expected revenue for the 12 month period starting 1 year from now if your company is already running*
Profit & Loss Estimates

enter all amounts in Kenya Shillings, use a minus sign in case of loss (eg., -500,000)
What is the estimated profit in the 1st year of operations? In case of an existing company, enter expected profit/loss for the last 12 months.*
What is the estimated profit in the 2nd year of operations? In case of an existing company, enter expected profit/loss for the coming 12 months.*
What is the estimated profit in the 3rd year of operations? In case of an existing company, enter expected profit/loss for the 12-month period starting 1 year from now.*
Additional Information
In 100 words or less, give a short "elevator pitch" of your business*

0/100
In 50 words or less, please tell us why you are seeking CBA assistance*

0/50
Business Plan Documents

(optional)
OPTIONAL: Attach your 1-page BUSINESS CANVAS document here...

Please submit your application only once, using your latest/final version.

If you have also prepared a full set of Business Plan documents, please do NOT submit those at this time - we will request those as needed if your 1-page BUSINESS CANVAS is interesting for CBA investment.
Document #1 (pdf, doc, dox)

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Personal Info

Business Status & Info

CBA Investment Estimates

Revenue Estimates

Profit & Loss Estimates

Additional Information

Business Plan Documents