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1. Personal Details

Name of SMME/ Entrepreneur *

Email Address *

Phone *

Street Address *

Apartment, suite, etc *

City *

State/Province *

ZIP / Postal Code *

Country *

Qualification Completed *

University *

Gender *MaleFemale

Race *

Date *

Day *

Month *

Year *

2. SMME Profile

2.1. Life Stage of SMME *

Ideation: Conceptual stage of the business (Development Stage of Business) *

Start Up: Introduction, early marketing of a product or service *

Established: Established business with a (Validated/ Substantiated Business Model) *

2.2. Informal vs Formal SMME

If Formal, Account SMME’s

2.3.Size of the Business *Micro (0-10)Small (11-50)Medium (51-200)

2.4. Industry/ Sector *

2.5. Impact of Venture: The purpose of the Venture & What makes this Business Unique? *

2.6. Scalability of the Business Model: The capacity of a business to grow to meet increased demand. *

2.7.Innovation:Introduction of a new method/ idea or idea *

3. Assessment of Emotional Readiness

Do you understand the demands and personal sacrifices necessary when starting a new business? *YesNo

When starting your new business will your family support your efforts? *YesNo

Are the potential benefits of owning a business worth the investment/risk involved? *YesNo

4. Assessment of your Personal Work Style?

Are you capable of multi- tasking and do you have a high energy level that can be maintained over a long time? *YesNo

Are you self-motivated and capable of working independently? *YesNo

Are you able to work in excess of a traditional work schedule when necessary? *YesNo

Can you identify how your skills and experience will help make this business be successful? *YesNo

7. Assessment of Market Potential

Have you identified your target customers? *YesNo

Have you identified the ways you will make your company known to your customers? *YesNo

Have you identified the costs of making your company know in the marketplace? *YesNo

Do you know who your key competitors are? *YesNo

8. Assessment of your skills

Do you have the skills to manage others and effectively control the flow work? *YesNo

Do you know what staff (managerial and operational) you will need to run the business? *YesNo

Do you have key advisory people (legal, accounting, etc.) identified to assist you in running your business? *YesNo

Terms and Conditions and Disclaimer for Your Application & Assessment:

Entrepreneurship Application & Assessment Questionnaire

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