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ARE YOU READY
TO IMPROVE AND BOOST
YOUR BUSINESS PERFORMANCE?
START NOW
ILO - SIYB IMPROVE YOUR BUSINESS (IYB) PRE-QUALIFICATION FORM
This form is for the Improve Your Business (IYB) Training Program designed for those who have started their business but need help with business management. The program helps you with guidelines to boost your business performance.
APPLICANT INFORMATION
Surname
*
First Name
*
Middle Name
*
Sex
*
Male
Female
Other
Your Address (either business or personal).
*
Age
*
16 - 25
26 - 35
36 - 45
46 - 60
> 60
Email Address (where notifications will be sent)
*
Fax Number ( if available)
Mobile Phone No.
*
Your Highest Education Completed
*
Elementary
College
Secondary
Higher Institution
Others
Have you attended any skills training related to your business?
*
Yes
No
If you answered "Yes" to attending Skills Training - Please specify
If you answered "Yes" to attending Skills Training - How long was it?
How would you rank your abilities to read and write in the seminar language?
*
Excellent
Good
Fair
Weak
Have you attended any other management courses before?
*
Yes
No
If you answered "Yes" to attending Management courses - Please specify
If you answered "Yes" to attending Management Courses - How long was it?
Currently, what is your main occupation? (select all that apply to you)
*
Full-time employed in public sector.
Part-time employed in public sector.
Full-time employed in private sector.
Part-time employed in private sector.
Unemployed, previously employed in public sector.
Unemployed, previously employed in private sector.
Unemployed, previously self-employed / own business.
Full-time self-employed / own business.
Part-time self-employed / own business.
Farming.
Retired.
School Leaver.
What is your average monthly family income? (please convert to local currency if necessary)
*
<$200USD
$200USD - $1,000USD
$1,000USD - $10,000USD
>$10,000USD
What SIYB Training have you attended before?
*
None
GYB
SYB
GYB + SYB
IYB
SYB + IYB
What is your current line of business?
*
Retail
Wholesale
Manufacturing
Service Operation
Agriculture related
Others
If your choice is "Others" in your line of business - Please specify
Do you intend to remain within this line of business?
*
Yes
No
If your choice is "No" - Please specify what line of business you are interested in:
Describe your primary business activity (business trade):
*
Name of this business:
*
When did you start your business?
*
Less than 1 year ago.
More than 1 year ago.
If your choice is "More than 1 year" - Please specify the first commercial month (month, year)
What is your position in the business?
*
Owner / Manager
Owner / Not manager
Shared Owner
Employee / Co-op member
How many customers does your business have on average daily (estimated average)?
*
< 5
5 - 10
10 - 20
20 - 50
50 - 100
> 100
What are your average daily sales (estimated average in USD)?
*
< 500 USD
500USD - 1,000USD
1,000USD - 2,000USD
2,000USD - 20,000USD
20,000USD - 50,000USD
> 50,000USD
Do you own any of the following business assets?
*
Machinery, including any generators, small and medium machines used in your business.
Tools, including anything you use to conduct business.
Equipment, including vehicles and transport product.s
Land, if belonging to the business. This includes land for any buildings (Measure in acres?)
Buildings, if belonging to the business.
Others
If you chose "Others" as part of your choices - Please specify
What best describes your - Own land and buildings (business space)
*
Sufficient land and sufficient space.
Insufficient land and sufficient space.
Sufficient land and insufficient space.
Insufficient land and insufficient space.
Do you own any of the following as a means of transport (in your business).
Animal traction
Bicycle
Small vehicle
Large vehicle
More vehicles
Please describe your most important asset /assets:
*
Do you own any of the following tools, machines, etc (in your business).
Simple tools
Small machine
Small machines
Computers
Big machine
Big machines
How many people do you employ (including the owner)?
*
How many women do you employ?
*
Which of the following best describes the type of employees you have?
*
Mostly full time employees, all paid a salary.
Mostly part time workers, all paid a salary.
Mostly family members, paid a salary.
Mostly full time employees, not all paid a salary.
Mostly part time workers, not all paid a salary.
Mostly family members, not all paid a salary.
Which of the following best describes the work contracts of your employees?
*
No work contracts for employees.
Work contracts for some employees.
Work contracts for most employees.
Work contracts for all employees.
Which of the following best describes absenteeism of your employees?
*
Absenteeism is a continuous problem.
Absenteeism is often a problem.
Absenteeism is sometimes a problem.
Absenteeism is not a problem.
How do you judge the status of the following for the people working in your business?
Salary Levels of Employees:
*
Good - No improvement necessary.
Fair - Counselling session required.
Weak - Counselling session required.
N / A - Information session required.
Contracts of Employees:
*
Good - No improvement necessary.
Fair - Counselling session required.
Weak - Counselling session required.
N / A - Information session required.
Access to Pension Schemes:
*
Good - No improvement necessary.
Fair - Counselling session required.
Weak - Counselling session required.
N / A - Information session required.
Access Health Insurance Schemes:
*
Good - No improvement necessary.
Fair - Counselling session required.
Weak - Counselling session required.
N / A - Information session required.
Annual Leave arrangements for Employees:
*
Good - No improvement necessary.
Fair - Counselling session required.
Weak - Counselling session required.
N / A - Information session required.
Sick Leave:
*
Good - No improvement necessary.
Fair - Counselling session required.
Weak - Counselling session required.
N / A - Information session required.
Maternity Leave:
*
Good - No improvement necessary.
Fair - Counselling session required.
Weak - Counselling session required.
N / A - Information session required.
Training, Apprenticeship and Other opportunities for Employees:
*
Good - No improvement necessary.
Fair - Counselling session required.
Weak - Counselling session required.
N / A - Information session required.
Dialogue with Employees:
*
Good - No improvement necessary.
Fair - Counselling session required.
Weak - Counselling session required.
N / A - Information session required.
Is your business currently registered?
*
No
Yes
If " Yes" - with whom:
Do you have more than one business?
*
No
Yes
If "Yes" - please specify.
Are you a member of an association?
*
No
Yes
If you answered "Yes", please specify which association?
Does your business have access to finances?
*
No
Yes
If you answer is "Yes", please specify as many as applicable from below?
Governmental or non-governmental organisations.
Banks that have a small business window.
National and International donor development agencies.
Credit unions / cooperatives.
Community programmes.
Other
If you choose "Other", please specify.
What are your plans for the business in the near future?
*
Remain with / strengthen same business.
Start new business activities in addition to existing one.
Start new business, replacing old one.
Do not know.
TRAINING EXPECTATIONS AND TRAINING NEEDS
What do you expect to learn during the training?
*
Please list all the different types of costs one should consider when calculating total costs of your product.
*
Describe the main components of your Business Plan (if any).
Describe the main components of your marketing plan (if any).
List as many different types of Employee Benefits you know.
*
What constitutes a Safe and Healthy work environment?
*
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