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About Nexa
Nexa Programs
Women Agro Entrepreneurship Program (WAEP)
Women in Digital commerce (WiDC)
Digital Market Access Program (DMAP)Programs
Refugee Women Digital Market Access Program
Consultancy
Training
Event
Women Agro Entrepreneurship Program (WAEP) registration form
This program supports Uganda women farmers and agribusiness entrepreneurs through training, market access, business development, digital commerce, and mentorship opportunities
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1. Full Name
*
First
Last
2. Phone Number
*
3. Email Address
*
4. Age
*
--- Select Choice ---
18 – 24
25 – 34
35 – 44
45 – 54
55+
5. District
*
6. Sub-county / Town
*
7. Village / Community
*
8. Nationality
*
purposes? internet What
SECTION B: AGRICULTURE & BUSINESS PROFILE 9. Are you currently engaged in agriculture?
*
--- Select Choice ---
Yes
No
9. Which best describes your activity?
*
Crop Farming
Livestock Farming
Poultry Farming
Horticulture
Agro-processing
Agribusiness Trading
Other
10. What products do you produce or sell?
*
11. How long have you been engaged in this activity?
*
--- Select Choice ---
Less than 1 year
1 – 3 years
3 – 5 years
More than 5 years
12. Is your business registered?
*
--- Select Choice ---
Yes
No
In Process
13. Do you operate as:
*
--- Select Choice ---
Individual
Group
Cooperative
Company
14. Business Name (if applicable)
*
SECTION C: PRODUCTION & MARKET ACCESS 15. Where do you currently sell your products? (Multiple selections allowed)
*
Farm Gate
Local Market
Shops
Supermarkets
Schools
Hotels & Restaurants
Export Market
Online
Other
16. What is your biggest challenge? (Multiple selections allowed)
*
Access to Markets
Lack of Capital
Limited Customers
Poor Packaging
Transportation
Storage
Digital Skills
Business Management
Other
17. Have you ever sold products online?
--- Select Choice ---
Yes
No
18. Do you own a smartphone?
*
--- Select Choice ---
Yes
No
19. Do you have access to internet services?
*
--- Select Choice ---
Yes
No
SECTION D: TRAINING & BUSINESS DEVELOPMENT NEEDS 21. Which areas would you like support in? (Multiple selections allowed)
*
Marketing & Sales
Record Keeping
Digital Commerce
Product Branding
Packaging
Value Addition
Export Readiness
Customer Service
Agribusiness Management
Access to finance
20. What are your business growth goals for the next 12 months?
SECTION E: PROGRAM COMMITMENT 21. Are you willing to participate in program trainings?
*
--- Select Choice ---
Yes
No
22. Are you willing to attend mentorship sessions?
*
--- Select Choice ---
Yes
No
23. Are you willing to create an online store on Merchandise Uganda platforms?
*
--- Select Choice ---
Yes
No
24. Are you willing to provide business progress information for program reporting purposes?
*
--- Select Choice ---
Yes
No
SECTION G: REFERRAL INFORMATION 25. How did you hear about this program?
*
--- Select Choice ---
Social Media
Merchandise Uganda
Community Leader
Women's Group
NGO / Development Partner
Friend / Family
Radio
Other
DECLARATION: I certify that the information provided is accurate to the best of my knowledge. I understand that submission of this application does not automatically guarantee selection into the program.
*
I Agree
Submit
About Nexa
Nexa Programs
Women Agro Entrepreneurship Program (WAEP)
Women in Digital commerce (WiDC)
Digital Market Access Program (DMAP)Programs
Refugee Women Digital Market Access Program
Consultancy
Training
Event
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