Application Form - Soko Boost

Application Form

Tell us about yourself.

Name *

Phone *

Email Address *

Street Address *

Apartment, suite, etc

City, Town

County

Country

Business Name (If any)

Business Stage (Select)

What are you Interested in? *

What would you use the Loan for? *

Estimated amount needed (KES) *

Is your business currently generating income? *

Briefly describe your idea or project *

What stage is this project at? *

Type of support you are interested in

Specify Support Required *

What type of resource are you looking for? *

Specific resource needed *

How often would you need access? *

Anything else you’d like us to know?

I understand this is an expression of interest and not a guaranteed approval. *Yes

I agree to be contacted regarding relevant opportunities. *Yes

I understand that my information may be shared with trusted third-party partners (such as equipment owners, resource providers, or funding partners) solely for the purpose of assessing and responding to my request. *Yes