Your Name

Gender
---MaleFemale

Date of Birth

Age Bracket
---18 - 2526 - 3031 - 35

ID Number

Your Email

Phone No.

Your County
Baringo Bomet Bungoma Busia Elgeyo-Marakwet Embu Garissa Homa Bay Isiolo Kajiado Kakamega Kericho Kiambu Kilifi Kirinyaga Kisii Kisumu Kitui Kwale Laikipia Lamu Machakos Makueni Mandera Marsabit Meru Migori Mombasa Murang'a Nairobi City Nakuru Nandi Narok Nyamira Nyandarua Nyeri Samburu Siaya Taita-Taveta Tana River Tharaka-Nithi Trans Nzoia Turkana Uasin Gishu Vihiga wajir West Pokot

Your Sub-County

Are you in school?
---YesNo

If Yes;Which one?

STARTUP

1.What is the name of your business?

2.In what industry is your business (idea)? (please select all that may apply)
Skills Development Economic/Enterprise DevelopmentValue Character DevelopmentCivic EngagementDrug & Crime FreeCreative EconomyHealthEnvironmentTechnologyManufacturingAgricultureEducation

3.What does your business do? Please describe your product or service in detail.

4.Who will your business serve? Please describe the customers of this product.

5.What customer problems will the product solve?

PROGRESS

6.How old is your company?
---0-6 months6-12 months1-2 yearsMore than 2 years

7.How much revenue has your company generated so far?
NoneLess than ksh 50,000ksh 50,000-100,000100,000-500,000500,000-1,000,000

8.What is the biggest challenge facing your business right now?

9.Have you already participated or committed to participate in an “incubator,” "accelerator," or "pre-accelerator" program? If yes, please tell us which program.
---NoYes - Please specify below

THE PROGRAM

10.What support would you like to have from this programme?

11.Please select how you heard about this program: (please check all that apply)
Other:----------------------Referred by someoneAttended an info-sessionLinkedIn postFacebook postFrom National Youth CouncilPress/Media Mention (newspaper, radio or TV) or Blog ArticleOnline Search (ie Google)Word of Mouth
Others

OUR CURIOSITY

12.In your opinion what could National Youth Council do to increase youth participation in all Youth initiatives

13.How do you prefer to be engaged:
Voluntary workInternships and work placementsTraining
Others

14.What is your preferred platform to hear about available opportunities?
SMSRadioTV
Others

15.What opportunities are you interested in participating in?
Skills DevelopmentEconomic/Enterprise DevelopmentValue Character DevelopmentCivic EngagementDrug & Crime FreeCreative EconomyHealthEnvironmentTechnologyManufacturingAgricultureEducation

16.In your opinion what measures should be implemented to better coordinate Youth initiatives, in your county and subsequently the entire country.

Terms & Conditions

Fursathon 2021 Terms & Conditions (By checking the following boxes, I agree I have met the following requirements for program participation

I am at least 18 years of age or older
---YesNo

I have regular access to internet through a computer and/or mobile phone (you can still apply even if your access to internet is not regular)
---YesNo

I am able to dedicate 4-8 hours per week to participating in this program
---YesNo

I will abide with the National Youth Council code of conduct
---YesNo

I consent to National Youth Council sharing the diversity information that I have provided above with third-party investors who are seeking to invest in companies with diverse leadership, and to receiving communications from such third-party investors, the National Youth Council regarding this program and future investment opportunities.

Please note you may opt-out of communications and withdraw your consent to the processing and sharing of your information at any time without penalty. If you do decide to withdraw consent at a later date, your withdrawal will not change the fact that the National Youth Council had a lawful basis to share your data prior to that point.

By clicking Register, you are consenting to National Youth Council Privacy Policy, code of conduct and Terms of Use.