APPLICATION FORM Young Entrepreneurs Club & Mentorship Programme

To apply for the Young Entrepreneur Club and have a chance of winning a mentor, you must fit the following 2 criteria: 1. Be the leader of your own business, which is already running and not more than 3 years of age 2. Be exciting and ambitious have a vision and articulate it If you have not yet started your business, then our buddying programme is more suitable for you. Please contact us for the appropriate application form. Please fill out the form on a computer by clicking in the grey boxes, and then typing. Send the completed form to launchpad@mara-foundation.org, saved with your name as the filename. Also send us a face pic for identification purposes (.jpg format, 100kb max) BASIC INFO Your name Your date of birth Your phone number Your email address Name of your company Company physical address Company tel number Website (if applicable) You are one of the Your current role Is your company registered? founders Yes No No Yes (reg no ) owners directors (click any that apply) Your gender Male Female

Do you work on your business full-time?

Where did you hear about this programme? Name and contact number of someone who can recommend you. PROFILE Please fill in the form on the next page. It is your 1-page profile. It will be seen by potential mentors. It is your opportunity to sell yourself to them. They will see very many. Yours needs to stand out. Be brief but punchy. Mentors will only have time to read a few words. Dont alter the size of the boxes or go over one page. You will be disqualified.

YOUNG ENTREPRENEUR PROFILE

Your name Area(s) of business No. of employees (including yourself) Approx. annual turnover Company age Name of your company

One thing that makes your business stand out

Your one proudest achievement

Your vision where do you want to take the business next?

Your biggest current challenge

And just for fun: if you met an alien, what would you say?