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ignite2020
IGNITE 2020 APPLICATION FORM
First Name
*
Last Name
*
Date of Birth
*
Age
*
Nationality
*
Which country are you applying from?
*
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Country
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Email Address
*
Phone Number
*
Please Include your country code. For eg +27
Why are you applying for Ignite 2020?
*
I am proficient in the English Language and understand that all sessions are in English
*
Yes
No
Basic
Highest level of education?
*
PHD
Master's
Bachelor's
High School
Other
Do you work for or have ownership in any companies other than the one for which you are applying?
*
If yes, please explain during the first interview.
Upload a summary statement of what you think is the problem and the possible solution to Africa's Agribusiness sector. (PDF)
*
When was your business founded?
*
If you haven't started, when did you conceive your idea?
Are you the key strategic decision-maker, typically the founder/cofounder or senior level manager of the business for which you are applying?
*
Upload your Resume/CV (PDF)
*
Accepted file (PDF)
Give a clear description of your Agribusiness! (Max. 150 words)
*
If you have not yet started, describe your Agribusiness idea here.
Why did you start your Agribusiness?
*
Please be specific. if you haven't started, why this idea?
Have you ever received support for your Agribusiness?
*
eg. Mentorship, coaching, funding etc?
Which mode are you applying for?
*
Ignite 2020 has 2 options. Virtual and Blended Option 1 : - Blended (Online and 2 weeks Residential) Option 2 : - Online (100% virtual)
Blended
Virtual
I understand Ignite 2020 is free. However, i am responsible for my own transportation from my place of origin to Ignite's residence if i choose the Blended training..
*
Ignite 2020 is free for all. Your transportation and accomodation remain your cost.
I understand i will spend two (2) weeks on my business at Ignite's residence as part of the programme if i choose Blended.
*
Yes
No
Have you read all the requirements of Ignite 2020 and willing to commit to them?
*
Kindly go to the FAQs page to read before you continue this application.
I agree that Guzakuza(initiator of Ignite) and its partners may use my images for promotional and awareness purposes during and after Ignite 2020.
*
Promotional purposes include websites, social media etc Awareness purposes include but not limited to press releases/articles.
Yes
No
Other
How did you hear about this opportunity?
*
Please tell us where you saw this opportunity.
Whatsapp
Facebook
Guzakuza website
Other
If other, please state.
*
Verification
Please enter any two digits
Example: 12
This box is for spam protection -
please leave it blank
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