Birth Date (yyyy-mm-dd)
Place of Residence
Number of full time staff (including yourself)
What sector does your business operate in?
If other, please specify
Is your business currently operating?
If yes to the the previous question. How long has your business been operating?
What is your business’s most recent annual revenue?
How would you describe your current financial situation?
How much time do you spend working on this business each week?
Will you be in Moshi, or within driving distance, for the next 12 months?
If your business has a website or Facebook page, please include a link here:
Can you sum up exactly what you do in a sentence?
Give us a brief overview of your business. Describe your product or service, who your customer is,
how they access your product/service, and how the business will make a profit.
Does your business have a direct or indirect benefit on the community? If so, explain.
Have you received any other business advisory or support services?
If yes, what type of support did you receive?
Have you received any external forms of financing?
If yes, what type?
What are the challenges you currently face?
What specific type of services are you interested in accessing from Anza?
If other please specify
What are your goals for your business for the next year? (Be specific)
How did you hear about Anza?