Please fill the application form below
Name
Business Name
Telephone
Email*
What does your business do?
Business start date(MM/YYYY)
Do you have business in Lebanon? YesNo
Business location
How many employees does your business currently employ?
What is the estimated cost for implementing the business plan (in USD)?
Describe your plan to expand or improve your business.
Description of business owner’s relevant professional background.
Partner name
Percentage of ownership
Amount funded(USD)
From personal accountFrom company account
Organisation name
Type of Funding
Amount funded
Relationship to Applicant SME
New partner name
Donor name
Amount donated
Crowd funding platform name
Amount collected
How did you hear about LEEP?
Referred by a LEEP Employee
Referred by another programme
Social Media
Advertising
TV
Radio
Bank
Other