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Micro-Loan Application
Interest-free business loans for at-risk ethnic minority women
Email address *
First name and last name *
Your answer
Phone Number *
Your answer
ID card No
Your answer
Age
Your answer
Address
Your answer
What is your ethnicity? *
Required
Religion
Level of education completed (school / college) *
Your answer
Name + phone number of Advisors or Personal References *
Your answer
Father's name
Your answer
Father's age
Your answer
Father's Job
Your answer
Father's Income (day / week / month / year)
Your answer
Mother's Name
Your answer
Mother's Age
Your answer
Mother's Job
Your answer
Mother's Income (day / week / month / year)
Your answer
How many brothers and sisters do you have?
Your answer
Last illness (if any)
Your answer
A hobby or leisure activity
Your answer
Family status *
How many people (children, family members etc.) depend on you financially? *
Required
Have you experienced domestic violence? *
Do you own a home or land? *
Do you rent home or land? *
Have you ever experienced homelessness? *
Are you currently employed? *
If employed, what is your current job?
Your answer
If unemployed, what is your reason for unemployment?
Your answer
What type of business do you want to start? *
Your answer
Requested loan amount *
Your answer
How will your loan money be spent? *
Your answer
Repayment Plan *
Your answer
Why is your business needed in the community? *
Your answer
Who will be your customers or clients? *
Your answer
What competition will you face in your community of similar businesses or services? *
Your answer
What will your business offer that your competition does not? *
Your answer
How will you get supplies or materials to support your business? *
Your answer
Who will run your business? *
Your answer
How many employees will you have? *
Your answer
List your business's estimated overhead costs per month (materials / supplies, rent, employee salaries, insurance, transport, marketing etc.) *
Your answer
How will you advertise your business? *
Required
Will you require special training or eduction to run your business? If so, what? How much will it cost? *
Your answer
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