NEEDS ASSESSMENT FORMS
1. Name Of Applicant *
2. Name Of Participant *
3. Contact Details Postal Address *
4. Physical Address *
5. Telephone / Cell. *
6. Email *
7. Website *
8. Year of birth? *
9. Sex *
10. What Is The Highest Education Level You Completed? *
11. Are You Currently Running Your Own Business? *
12. What Is The Purpose Of Your Micro-finance Institution? *
13. How Many Does Your Organization Currently Have? *
14. Who Are The Members Of Your Organization? *
Please Provide A Short Profile Of Your Membership
15. Is Your Organization? *
16. If Your Organization Is National Where Is The Head And The Current Office Located? *
17. Do You Have Any Dietary Requirements? *
18. Which Workshop Will You Be Attending? *
(If This Is Applicable Insert The Application Here)
19. Do You Have A Disability? *
(If Yes Please Specify)
20. Main Source Of Funding? *
(Please if Others Specify)
Required
21. Service Offered? *
(Please If Others Specify)
Required
22. Target Group?
(Please Tick, If Others Specify)
23. Capacity? *
a. How Many People Does Your Organization Employ? *
b. Of These How Many Are Women? *
c. How Many Are At Management Position? *
d. How Does Your Client Access Your Service? *
Required
23. What Percentage Of Women Entrepreneur Are Beneficiaries Of Your Organizations Services? *
(Please Tick)
24. Does Your Organization Cater For Men And Women Clients Differently? *
*
If YES, Please Provide Further Details About The Activities
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