USB Small Business Academy s. SBA Development Programme (Western Cape) Application for admission to study: Class of 2017

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USB Small Business Academy s SBA Development Programme (Western Cape) Application for admission to study: Class of 2017 The nine-month SBA Development Programme presented by the Small Business Academy of the University of Stellenbosch Business School offers small business owners in the Cape Town Metro South East the opportunity to gain business knowledge that will enable them to grow and expand their existing businesses. The SBA Development Programme is presented at the USB campus in Tyger Valley, Bellville, on a part-time basis. This is a post-matric level programme. A certificate from Stellenbosch University is awarded to successful participants. The programme consists of: 12 hours of mentoring 2 practical workshops 5 weeks of on-campus training, including assignments 1 business plan presentation to the SBA s Academic Panel. The SBA Development Programme is selection-based, following ability testing and an interview with the SBA Selection Committee. Only selected participants will be notified before commencement of the programme. Programme fee: R2 400 (R60 non-refundable application fee, R900 registration fee upon selection, R500 payable in April 2017, R500 payable in June 2017, R500 payable in August 2017) Application deadline: Friday, 3 February 2017 Programme starts: 14 March 2017 ENTRY REQUIREMENTS Age: 25 years or older Small business owner: Full-time owner of an established small business that is at least two years old (24 months) (thus, the small business owners must not be in the employment of another company while running current business) Area: Applicants must live or work in townships or low-income areas of the Cape Town Metro South East region of Cape Town, Western Cape (greater Khayelitsha, Mitchells Plain, Philippi, Gugulethu, Crossroads, Langa, Nyanga). Other areas will be considered if the applicant is willing to travel to the USB s Bellville Park Campus for training and to Khayelitsha or Mitchells Plain for mentoring and workshops.

Education: Matric/Grade 12. However, this is looked at on a case-by-case basis if applicants have not completed Matric or Grade 12. No previous management education at tertiary level is required. Language of tuition: Must be proficient in English. Studies as registered students: Students cannot be registered to study part-time at another institution during the course of the USB SBA Development Programme. Classes: For the class programme, students must be able to travel to the Small Business Academy on the USB campus in Bellville, at the times indicated on the training schedule. Accommodation is not provided. Business plan: Students must present a business plan on the business or company that they used for their application. Final selection: Final selection for the SBA Development Programme is at the discretion of the SBA Selection Committee. Please see www.usb.ac.za/sba for details on the application requirements and carefully read Annexure A. APPLICATION FORM Please complete the following application form and submit this together with the relevant documentation (see checklist at the end of this form). This application form is one of the most important documents used by USB s Small Business Academy to evaluate your suitability for the programme. Please ensure that you fill out every line. APPLICANT DETAILS Surname Name (s) Nickname (name you want to be called by during the programme): Date of birth Age Home (street, suburb) address and postal code Male Female South African ID number If non-south African: Passport and work permit numbers Home phone Cell E-mail address

COMMUNICATION CONNECTIONS Tick appropriate answer. Do you: Own a smartphone with access to e-mail or WhatsApp? Yes No If no, do you have your own cell phone or use someone else s? My own Someone else s Own a PC, laptop or tablet? Have access to the internet from home or your business? Yes No Yes No If no, how do you access the internet? Internet café Library Other: Know how to attach a document to an e-mail? Know how to create a document in Microsoft Word? Know how to create a document in Microsoft Excel? Know how to create a slideshow in MS PowerPoint? No Yes: Well Intermediate Poorly No Yes: Well Intermediate Poorly No Yes: Well Intermediate Poorly No Yes: Well Intermediate Poorly Language Home language: isixhosa Zulu English Afrikaans Other: English literacy level: Read Well Intermediate Poorly Write Well Intermediate Poorly Speak Well Intermediate Poorly HIGH SCHOOL DETAILS School name Year in which you matriculated If you do not have matric, what is the highest grade you have passed? TERTIARY EDUCATION Have you studied after matric? Yes No If yes, please give name of the programme, how many years you have completed or year of graduation

BUSINESS STATUS Name of business: Your job title: Owner Co-owner Director Manager Other: Services or products: Industry: Number of years the business has been running full-time: Is the business registered? Yes No If yes, registration number: Number of employees (excluding owner): Number of regular clients/months: Monthly income of your business: 0 R2 500 R2 500 R7 500 R7 500 R15 000 R15 000 R30 000 +R30 000 Monthly expenses of your business: 0 R2 500 R2 500 R7 500 R7 500 R15 000 R15 000 R30 000 +R30 000 Business street address, including postal code: Business postal address, if applicable: Business landline number: Business cell phone number: Business e-mail address: Business website address (if applicable):

BUSINESS REFERENCES Include the names of two people that we can contact as references for you. They can be clients or suppliers. References must not be older than 3 years. 1. Surname Name Organisation name Role at organisation E-mail Contact number (work or cell) 2. Surname Name Organisation name Role at organisation E-mail Contact number (work or cell) APPLICATION ESSAYS Please answer each of the questions below and attach these separately to the application form. Each answer should be no less than half an A4 page (size 11 font typed or clearly hand written). Only applications with all four essays will be accepted. 1. Give us a brief history of your business path and background. Tell us how you started your business and what your business has done so far. Explain how your business runs and what your products or services are. 2. Tell us briefly what the challenges in your business are and what you would like to change in your business so that it will grow and expand in the next three years. 3. With regard to your business, explain or describe where you see yourself in 10 years time (you can include your goals, areas of interest and what you are hoping to achieve). Please be specific and realistic. 4. Tell us briefly why you want to join the SBA Development Programme and what you hope to learn during the nine months of the programme.

STATEMENT OF INTEGRITY I hereby certify that I have provided accurate information in this application. I understand and agree that any misrepresentation or omission of facts in my application will justify the denial of admission, the cancellation of admission, or expulsion. This is my own, honest statement to the Admissions Committee. I hereby confirm that I have read and understood Annexure A. I hereby commit myself to following the guidelines and stipulations of the USB Small Business Academy Development Programme if I get selected to participate in the programme and I furthermore commit myself to making the course fee payments as laid out in Annexure A or risk expulsion. Name and Surname (in print): Signature: Date: CHECKLIST A certified copy of the first page of your South African identity document (ID book) or passport. (If you are a foreign national, please include a copy of your work permit.) A completed and signed application form and the four essays on separate sheets. Certified copies of your academic certificates and/or Senior Certificate. Proof of payment of R60 non-refundable application fee. Please submit your application form with all the attachments by Friday, 3 February 2017. Applications can be submitted in any of the following ways: 1. By post: The application form with proof of payment can be posted in a sealed envelope addressed to: USB Small Business Academy, Project 2016, PO Box 610, Bellville, 7535. 2. Delivery by hand: The application form with proof of payment can also be dropped off at the following venues: USB SBA Office, 4th Floor, Main Building, Bellville Park Campus, Carl Cronjé Drive, Bellville, Monday to Friday between 08:30 and 16:30 Dept of Coffee, opposite the Khayelitsha Station Little Mermaid Swim School, 13 Manta Way, Strandfontein, Mitchells Plain 3. By e-mail: Scan the application form and proof of payment and send these to USBSBA@usb.ac.za. MORE INFORMATION For more information, call Benji Matshoba on 021 918 4379. Proudly sponsored by: