Registration Form

NAME*
PHONE NUMBER*
EMAIL
AGE*
GENDER* Male Female
MARITAL STATUS
NUMBER OF CHILDREN
LOCATION: DISTRICT / COUNTY / SUB-COUNTY / VILLAGE / PARISH
HIGHEST LEVEL OF EDUCATION PRIMARY SENIOR 4 SENIOR 6 DIPLOMA BACHELORS DEGREE POST-GRADUATE DIPLOMA NONE
WHAT IS STOPPING YOU FROM YOUR DREAM LACK OF CAPITAL(money)
CAN NOT FIND CAPITAL
LACK OF WHAT TO DO
LACK OF LAND
PRESSURE FROM FAMILY OR FRIENDS
LACK OF ABILITY
LACK OF PONTENTIAL
LACK OF ADVISE OR ADVISORS
I ONLY WANT TO DO AN OFFICE JOB
I DONT HAVE ENOUGH EDUCATION
OTHER
HOW DO YOU EARN YOUR MONEY I GET MONEY FROM A JOB
I GET MONEY FROM MY PARENTS
I GET MONEY FROM MY FRIENDS
I GET MONEY FROM A BUSINESS
I GET MONEY FROM HUSBAND/WIFE
I GET MONEY FROM CHARITY
HOW DO YOU SPEND YOUR MONEY I SPEND MONEY ON FOOD
I SPEND MONEY ON MEDICAL/HEALTH
I SPEND MONEY ON TRANSPORT
I SPEND MONEY ON MY BUSINESS
I SPEND MONEY ON RENT
I SPEND MONEY ON SCHOOL FEES
I SPEND MONEY ON AIRTIME
I SPEND MONEY ON MY FAMILY
I HAVE CREDIT IN SHOPS
I SAVE MONEY
HOW MUCH MONEY DO YOU GET IN A MONTH I GET LESS THAN 50,000SHS PER MONTH
I GET 50,000-100,000SHS PER MONTH
I GET 100,000 - 200,000SHS PER MONTH
I GET 200,000-500000SHS PER MONTH
I GET MORE THAN 500,000SHS PER MONTH
HOW MUCH MONEY DO YOU SPEND IN A MONTH I SPEND LESS THAN 50,000SHS PER MONTH
I SPEND 50,000-100,000SHS PER MONTH
I SPEND 100,000 - 200,000SHS PER MONTH
I SPEND 200,000-500000SHS PER MONTH
I SPEND MORE THAN 500,000SHS PER MONTH
WHY ARE YOU JOINING PROJECT500K
Project 500k can take pictures & videos of me when I attend the programme. YES NO