Beirut Blast Pre-application Form

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?

    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.

    Partners

    What are the sources of funding for this project?
    Funds from existing owner(s)

    Amount funded(USD)

    From personal accountFrom company account

    Funds/Equity from organisation(s)

    Organisation name

    Type of Funding

    Amount funded

    Relationship to Applicant SME

    Funds/Equity from new partners investing in the business





    Donations



    Crowd Funding



    How did you hear about LEEP?

    Referred by a LEEP Employee

    Referred by another programme

    Social Media

    Advertising

    TV

    Radio

    Bank

    Other