Empowerment For Women Nationwide

Application for Digital Skills for Sustainable Business Training

Please fill out the form below and we’d be in touch within 24 hours.

Full name: *

First

Last

Email: *

Please enter your email, so we can follow up with you.

Enter Phone Number. *

Occupation / Trade: *

Are you employed or unemployed? What kind of business do you have?

Location *

Where is your business located?

Age range *

18 – 22
23 – 26
27 – 30
30 – 33

How many years have you been in business? *

Where is your business located?

Why should you be chosen as a beneficiary for this program? *

How would this program impact your business? *

Tell us a brief history about your business and how the training would impact it's growth.

How did you hear about us? *

Terms & Condition for beneficiaries *

Without expectation of compensation or other remuneration, now or in the future, I hereby give my consent to Kiitan Foundation and it’s representatives to use my image and likeness and/or any interview statements from me in its publications, advertising or other media activities (including the Internet). This consent includes; (a) Permission to interview, film, photograph, tape, or otherwise make a video reproduction of me and/or record my voice; (b) Permission to use my name or the name of my child(ren) in cases where they are minors and are the beneficiaries (c) Permission to use quotes from the interview(s) (or excerpts of such quotes), the film, photograph(s), tape(s), and/or recording of my voice, in part or in whole, in its publications, in newspapers, magazines and other print media, on television, radio and electronic media (including the Internet), and/or in mailings for educational and awareness.

*Please note: Filling and submitting this form means that you are aware that the selection process is random and that your information would be used during the selection process. You are not guaranteed a grant or automatic access to our training events.

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Empowerment For Women Nationwide

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CONTACT US

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