Application FormPlease enable JavaScript in your browser to complete this form. - Step 1 of 4Personal InformationThis section will focus on getting to know you better and ensuring your eligibility to the Izdihar Program.Name *FirstLastGender *- Please Select -MaleFemalePrefer not to answerBirthdate *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Nationality *- Please Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsAre you legally allowed to operate a business in the sector you are proposing in Lebanon? *YesNoPhone *Email *Address *Address Line 1Address Line 2CityState / Province / RegionAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryWhat is your marital status? *- Please Select -SignleMarriedDivorcedWidowedSeparatedHow many dependents are in your household? Selected Value: 0What is your highest level of education reached? *- Please select -High School or LessTrade or Vocational SchoolSome CollegeUndergraduate College DegreeGraduate DegreePost GraduatePhDWhat is the name of the School or University you attended? *What is your employment status? *- Please Select -Full-TimePart-TimeSeasonalTemporaryNot EmployedStudentWhat is your profession?Who do you work for?Where is your employment located?How long have you had this employment?Write only the number of yearsWhat are your hours?Write only the number of hours per weekWhat is your monthly salary?Write only the amount in USD at the current exchange rate (ex. 20,000 LBP per 1 USDIf you plan on keeping your employment while starting a new business, please explain how you will be able to manage working on the new business while maintaining your work with your current employer.If you are not employed, do you have any available income streams?YesNoIf yes, what from? What is the amount and frequency?Have you had employment in the last six months? *YesNoIf yes, please explainDo you have any savings that you would be willing to invest in your new business? *YesNoWould you be willing to provide bank statements to verify your responses? *YesNoIf you are not a member of a financial institution, how will you verify the information you provided?Next pageMarket AnalysisThe Market Analysis provides a brief overview of the economic environment in the targeted areas.Q1.What sector is your business in? *Q2.What geographical coverage will your business be serving? *Which Governorates/Districts/Towns? *What is the estimated population of this area? *Write only the number of peopleQ3. Within the proposed geographical area...What community needs have been identified? *Which sectors are thriving? *Identify the sub-sectors please.Which sectors are in decline? *Identify the sub-sectors please.What is the estimated unemployment rate? Selected Value: 0%What is the estimated purchasing power specific to the proposed product/service? *Please explain your methodology in answering these questions. *Q4.Are there any businesses within your sector in your proposed geographical coverage? *YesNoIf yes, how many and what are the names of the businesses, including businesses that operate online?Which competitive business will be physically closest to yours and how close is it? Do you know who manages that business? *What portion of the geographical area do they cover? *Q5.Do you know any business owners in the value chain that you will participate in? *YesNoHow many?Where do they operate?Please be specific with towns/neighbourhoods or villagesHow did you meet them?Who are they, how/through-who were they introduced to you?Q6.How are you planning to find and meet new business owners within your value chain? *Q7.What are the community benefits of your business? *How do you think about ‘your community’, who are they, are how will the business benefit them?Q8.What are the potential risks for starting your business? *Q9.What are your working assumptions for your business to be successful? *I.e. Political, economic, social, environmental…Q10.Why should your community support your business? *NextAttachments for SubmissionPlease attach the following documents within the stated guidelines.Resume * Click or drag a file to this area to upload. Maximum length of two pages. Employment History. Education.Business Pitch Video (Optional)Maximum length of two minutes. Community needs that the business is responding to. How the business strategy will respond to the community's needs. Why your business will succeed.Business Plan * Click or drag a file to this area to upload. Maximum length of three pages. Introduction of the business. Business location, geographical coverage, and target population. Community needs that the business is responding to. How the business strategy will respond to the community's needs. Length of support needed before business is profitable. What is your marketing strategy? Employee hiring plan. Sustainability plan. Top line budget information including high level costs.Download budget templateBudget * Click or drag a file to this area to upload. Please download the template, submit your data, and then resubmit it.References *Provide three professional references. 2x References. (Ex. Personal, Education, Business, Government)Applicant approves for Izdihar Libnan to conduct necessary due diligence if the candidate is selected to the final three, this includes counter - terror and police checks. *I ApproveNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit
