#Insiders4Gd East Africa Fellwship Applicatin Wrksheet This tl is prvided fr yu t wrk n yur applicatin ffline. Please be advised, in rder t be cnsidered fr the fellwship, yu must submit the applicatin frm in FULL nline at insiderfellws.cm befre 23:29:29 n March 31, 2017. Are yu an East African entrepreneur? Micrsft culd select yu as the next #Insiders4Gd Fellw We belng t the Windws Insiders, a glbal cmmunity f peple using technlgy t make a lasting impact n the wrld. Our cmmunity thrives because f meaningful relatinships with peple arund the wrld. Thus, we are very excited t expand the #Insiders4Gd Fellwship t East Africa, specifically t entrepreneurs in Kenya, Rwanda, Tanzania, and Uganda. We are lking fr entrepreneurs like yu--prblem-slvers wh think deeply abut the issues cnfrnting their cmmunities, visinaries wh create slutins that culd address these issues, and leaders that grw pprtunities fr their slutins t thrive in the market. Yur wrk imprves the lives f yur fellw East Africans and has the ptential t impact the wrld. We are calling all East African entrepreneurs with prjects in the early stage t apply t becme part f ur secnd chrt f #Insiders4Gd Fellws. Twenty-five entrepreneurs will be selected and will receive a premier suite f Windws hardware and sftware, and a 6-mnth mentrship prgram will be kicked ff by a special ne-week learning event fr Fellws and mentrs. The 6-mnth mentrship will include tailred technical and strategic mentrship frm lcal and internatinal leaders t help bring yur unique idea t the next level. If yu have any additinal questins, please reference ur FAQ. Yu can als find the full Prgram Terms here. Fr applicatin supprt, please feel free t cntact us at wifellw@micrsft.cm.
1. Tell us wh yu are. Yur Name * City, State, Cuntry * What is the Micrsft Accunt (email address) assciated with yur Windws Insider Prgram prfile? * What is yur preferred email address? (if different frm abve; ptinal) Gender (Male/Female/Other/Prefer nt t state) * Male Female Other Prefer nt t state Is English yur primary language? Yes N If n, what language(s) d yu speak? If n, hw cmfrtable are yu in wrking in English n a scale f 1-10?) * 1 What is the best phne number t reach yu? * What is the name f yur rganizatin? (ptinal) What is yur rganizatin s website? (ptinal) Tell us abut yur idea. 2. What is the name f yur business idea? * 3. What is the issue/pprtunity yur business idea is wrking t address? * Agriculture / Agricultural Technlgy Agriculture / Agricultural Technlgy Cmmerce Cmmunicatins Educatin Emplyment / Jbs Energy Finance / FinTech Gvernance / egvernance Health / Medicine Husing Public Safety Sanitatin Turism Trade Transprtatin Water
Other 4. Explain hw the issue yu are wrking t address is impacting yur cmmunity tday. * 5. Why is this a critical issue in yur cmmunity? Why is this an urgent issue that must be slved nw? * 6. Tell us abut yur business idea that will address this issue. Hw will yur business help slve this critical issue? * Maximum 150 wrds 7. Is this a prduct r service? prduct is a physical, tangible gd (definitin: prduct is a physical, tangible gd, including digital file based utput / service is an intangible benefit fr example, cnsulting; medical diagnsis r treatment; transprtatin) 8. Which members f yur lcal cmmunity des yur business idea serve? * 9. What is the intended impact f yur prduct r service? Hw will yur custmers lives be imprved nce they use yur prduct r service? * 10. Please categrize the type f impact yur custmers will experience nce they use yur prduct r service. * (select ne) Lifestyle Impact Cultural Impact Cmmunity Impact Quality f Life Impact Health Impact 11. Wh is yur ideal custmer? * 12. Hw d yu plan t generate sales? What is yur current revenue generatin strategy? * 13. Has anyne ever tried t address the issue that yu are currently lking t slve with yur business idea? If s, what is their slutin and why d yu think that they have nt yet succeeded? *
14. List up t 3 cmpetitrs they can be lcated anywhere in the wrld. * 15. What makes yur prduct r service unique and better than existing r previus slutins? * 16. What are the existing barriers t enter r t expand in yur target market? Hw will yu vercme these barriers? * 17. Please prvide a link t images r vides that help t demnstrate yur business idea. (Optinal) Tell us abut yu. 18. As the entrepreneur behind this idea, what are the skills, experience, r qualificatins that yu pssess that yu believe ensures success? * Maximum 150 wrds 19. Please select the current set f specific skills, experience, r qualificatins that directly apply t yur business belw. (Check all that apply) Administrative Business Develpment Engineering Entrepreneurship Design Finance Human Resurces Infrmatin Technlgy Marketing Media & Cmmunicatins Operatins Prduct Develpment Prduct Management Prgram Management Research Sales Legal 20. What additinal skills, training, r mentrship supprt d yu need t ensure that yur prduct r service will launch in 6 mnths? (Check all that apply) Administrative Business Develpment Engineering Entrepreneurship Design Finance
Human Resurces Infrmatin Technlgy Legal Marketing Media & Cmmunicatins Operatins Prduct Develpment Prduct Management Prgram Management Research Sales 21. What d yu hpe t achieve fr yur business within the next 6 mnths? * 22. What are yur key milestnes in the next year, 2 years, and 5 years? * Maximum 150 wrds 23. What d yu hpe t gain thrugh yur participatin in this Fellwship? * 24. Will yu be running the business by yurself r with a team? * [pull dwn: Alne/Team] If selected Team: Please prvide the names, rles, and respnsibilities f yur team members. [text, 50 wrds] 25. What types f rganizatins r partners will ensure yur business s lng term success? * Public Sectr Nn-prfit Sectr Private Sectr 26. Name up t 5 ptential partner rganizatins. * 27. When yu have business challenges tday, hw d yu address them? *
Tell us abut yur technlgy. 28. D yu currently use Infrmatin and Cmmunicatins Technlgy (ICT) in yur jb? Yes N If yes: What is yur current cmputer setup? (type f cmputer and sftware mst ften used) Maximum 50 wrds If yes: What are 3 primary uses that yu have fr ICT in yur wrk? Maximum 50 wrds If n: Please explain why yu dn t currently use ICT in yur wrk. Maximum 50 wrds If n: If yu wuld like t use ICT in yur wrk, please share 3 ptential uses that yu may have fr ICT. Maximum 50 wrds 29. What are yur anticipated cmputer/technlgy needs t successfully run yur business? * Maximum 150 wrds 30. When yu have technlgy challenges tday, hw d yu address them?