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Unemployed Assessment
SME Mobilisation
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Assessment Form
Unemployed Track
Please fill out all mandatory fields marked with an asterisk (
*
).
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Step 1: Assessor & Cohort Information
Assessor name
*
Select the full name of the assessor
-- Select Assessor --
Anane Emmanuel
Arthur King Moses
Baba Iddrisu
Lukeman
Vida Addo
Participant ID
Step 2: Participant Demographics
Participants Full name
*
Enter the participant's full name as stated on the Ghana Card with first name followed by their surname.
Participant ID / National ID
*
Enter the participant ID or National ID
Email address
Enter a valid email address if available.
Primary contact number
*
Enter the participant's main telephone number
Secondary contact number
Enter an alternative contact number if available.
Region
*
- Select an option -
Ahafo
Ashanti
Bono
Bono East
Central
Eastern
Greater Accra
Northern
North East
Oti
Savannah
Upper East
Upper West
Volta
Western
Western North
District
Community/Location
*
Gender
*
- Select an option -
Female
Male
Date of birth
*
Calculated age:
NaN years
Do you have a disability?
*
- Select an option -
Yes
No
If yes, describe disability:
Current employment status
*
Unemployed
Self-employed
Employed
Are you currently an apprentice?
*
- Select an option -
Yes
No
Step 3: Readiness & Business Aspirations
1. What is your main goal at this stage?
*
- Select an option -
Start my own business
Develop an existing business idea into a business
Grow a small business I have already started
Seek paid employment
I am not yet sure
2. Do you currently have a business idea you would like to pursue?
*
- Select an option -
Yes, and I am ready to start
I have an idea but have not developed it
No, I need help identifying a business opportunity
4. What have you already done towards starting this business?
*
Select all that apply
Researched the market or customers
Identified suppliers
Identified potential customers
Started selling or testing the product or service
Developed a business plan
Saved money or mobilised resources
Acquired tools or equipment
Registered the business
Nothing yet
Other
If 'Other', please specify:
5. What have you mainly been doing during your period of unemployment?
*
Select all that apply
Developing a business idea
Running a small or informal business
Learning a trade or skill
Temporary or occasional work
Supporting a family business
Farming or agricultural activities
Other
If 'Other', please specify:
Step 4: Product / Innovation Multimedia
Multiple photos and pitch videos can be uploaded.
Product / Innovation / Idea Title
(e.g. Recycled Plastics Paver Blocks, Solar Fruit Dryer).
Description of the Product or Innovation
Briefly explain what makes this product or idea viable, how it works, and who the target customers are.
Upload Product / Innovation Photos
Select one or more clear pictures of prototypes, product samples, tools, raw materials, or workshop setup.
Upload Product Video / Pitch Video
Upload an MP4 or WebM video showing the product in action or a 1-minute elevator pitch.
Or Online Video Link (YouTube, Vimeo, Google Drive):
Step 5: Assessor Evaluation & Consent
11. Based on the assessment, does the participant show potential to establish and sustain an SME?
*
- Select an option -
Yes - strong potential
Yes - but requires further preparation
Potential is unclear - requires further assessment
Not currently ready
Is the participant available to attend the training for all 3days?
*
- Select an option -
Yes
No
Do you consent to provide the information requested in this form for the purpose of assessing your eligibility and connecting you to relevant programme opportunities?
*
Your information will be used to assess your entrepreneurship readiness and may be used to connect you to relevant training, business support, funding, market linkages, coaching, referrals, and other programme opportunities.
- Select an option -
Yes
No
14. Assessor's recommendation for support
*
Kindly state the strengths of the participant and why you consider him/her as a quality participant with the potential of transitioning.
Thank you. Please review the information before submitting the form.
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