BSEP Application Form BSEP Application Form Name* First Name Last Name Name of business or Proposed start-up*Nationality*Select CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweAddress*Phone*Mobile*Email* Date of Birth* Passport Number*Marital status:*SingleMarriedDivorcedWidowedYour business’ social media accounts handles: English Proficiency*IELTSTOEFLN/AScoreYear201820172016201520142013Educational QualificationQualification ListCertificationMajorCollege/UniversityYear Business InformationDo you have an existing business?YesNoNature of BusinessType of product or servicesStart Date Annual SalesLocation of the businessAbout your Business1. Please write a brief summary about your Business(Maximum 150 words) 2. Is your business hosted by a larger organisation? If so, please give details.(Maximum 100 words) 3. Are you partnering with other entities? If yes, please describe the current partnership plan.5. How do you know this business will make a difference?• For example: • Have you done some research to see who else is running similar projects to the ones you are proposing? How will your project differ from theirs? • Have you talked or surveyed the people that you want to help through your business, and understood their needs? • Have you talked to experts in the field who have run similar projects? • Did you run activities or run a pilot project? (Maximum 200 words)6. If you have already started your business, please tell us about what you have done so far. *(Maximum 300 words) 7. Do you have staff or volunteers in the business? If so, what roles do they play? What are your plans for involving people in the future?(Maximum 100 words) 8. Will your business be working with under 18-year-olds or vulnerable adults? If so, please give details.(Maximum 100 words) 9. Where is, or where will be, the base for your business? Where does it, or where will it, deliver services?Your Business Finances10. What was your enterprises’ annual turnover in the last year, if any?11. What committed income, if any, have you had in the last two years (including grants or other funding, trading, sponsorship, loans)?YearSource of IncomeAmount 12. Do you have any annual accounts for the last year?If ‘YES’, please upload them with your application. If you don’t have these, you are still eligible to apply. YesNoAnnual accounts for the last yearAccepted file types: jpg, pdf, jpeg, png.14. How do you plan to raise income and become sustainable in the future?• For example: • Trading • Sponsorship • Fees • Grants15. Please tell us why you want to develop this business?• What are your main reasons for setting up or being involved in this project? • What motivates you? • What led you to this point? • Do you have any experience of the issues you are seeking to address?16. What else do you want to tell us that is relevant to your application?This might include any activities that you are currently undertaking or planning; previous experience or qualifications that you may have.