Full Name

Date of Birth

Gender Male Female

Nationality Select an option Jordanian Syrian Other

Other, please specify

Place of Residence Select an option Amman Ajloun Jarash Mafraq Balqaa Zarqa Irbid Madaba Karak Tafilah Ma'an Aqaba

Which target area will you attend the program from? Amman Madaba Karak Mafraq

Marital status Select an option Single Married Divorced Widowed Prefer not to say

How many family members are in your household?

How many family members are currently working?

Do you consider yourself a person with a disability? Select an option Yes No I prefer not to answer

Please specify the type of disability.

Employment Status Select an option Employee Self-employed Unemployed Trainee Student

Mobile Number

Email Address

Educational Level Select an option Uneducated High school or below Bachelor’s degree Postgraduate

Academic Major

Project/Idea Name

Which of the following statements best describes your idea/project? Select an option I do not have an idea for a pilot project, but I am interested in attending I have an idea only I have a prototype or MVP I have started generating sales I have an existing business I work as a freelancer I operate a home-based business

Is your business registered? Yes No

Current Monthly Sales Select an option No sales Less than 500 JOD 500–1000 JOD More than 1000 JOD

Number of Employees Select an option 1 2-5 6-10 +10

Idea/Project sector Select an option Agriculture Food & Beverage Healthcare & Medical Services Education Vocational Training Human Resources (HR) Technology, Software & ICT Artificial Intelligence (AI) E-commerce Financial Services & FinTech Marketing & Advertising Consulting & Professional Services Tourism & Hospitality Transportation & Logistics Construction & Housing Manufacturing & Industry Renewable Energy Recycling & Circular Economy Waste Management Environmental Services Creative Industries (Media, Design, Arts) Retail & Trade Household Products Fashion & Textiles Beauty & Personal Care Social Enterprise Other

Other, please specify

The Project Scope Select an option Local Governorate National Regional International

Overview of the Idea/Project

What makes your idea different from existing solutions?

Have you already tested your product or service? Prototype only Pilot customers Paying customers No

Which green practices apply to your business? Renewable Energy Recycling Waste Reduction Water Efficiency Energy Efficiency Sustainable Agriculture Eco-friendly Products Circular Economy Green Packaging Other

Others, please specify

Please explain how your project idea is related to the green economy (environmental sustainability).

What support needs does your idea/project require? Mentoring Networking Financial Consulting Legal Consulting Product Design Digital Marketing Eco-friendly Packaging Green Business Model Other

Other, please specify

Please describe the technical support you require

Additional Links ( website, social media profiles, pitch deck link, etc.)

Have you previously participated in any entrepreneurship, incubation, acceleration, or business support program? Yes No

Please provide the program/project name and the implementing organization

How did you hear about this program? Social Media Email WhatsApp Messages Other

Other, please specify

All information provided in this application is true and accurate. I confirm

I commit to actively participating in the program activities if selected. I confirm

I understand that submitting this application does not guarantee my acceptance into the program. I confirm

TTi, COOPI, donor & project partners may use photos, videos, testimonials & project materials from program activities for communication, reporting, visibility & promotion; I consent to personal data processing per project data protection requirements. I confirm