{% extends 'site_body.html.twig' %}{% form_theme form 'bootstrap_5_layout.html.twig' %}{% block body_class 'register-container' %}{% block page_container %}<div class="container"> <div class="row justify-content-center"> <div class="col-md-8"> {% for notice in app.flashes('success') %} <div class="alert alert-success">{{ notice }}</div> {% endfor %} <div class="card"> <div class="card-body"> {{ form_start(form) }} <h4>Applicant Details</h4> <div class="form-row" > <div class="form-group col-md-12"> <label>Name organization<span>*</span></label> {{ form_widget(form.organizationName) }} {{ flash_form_errors(form.organizationName) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Organizational legal status<span>*</span></label> {{ form_widget(form.legalStatus) }} {{ flash_form_errors(form.legalStatus) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Business registration number or equivalent</label> {{ form_widget(form.registrationNumber) }} {{ flash_form_errors(form.registrationNumber) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Bank account number</label> {{ form_widget(form.businessAccountNumber) }} {{ flash_form_errors(form.businessAccountNumber) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Does your organisation have a code of conduct/integrity policy?<span>*</span></label> {{ form_widget(form.conductPolicy) }} {{ flash_form_errors(form.conductPolicy) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Contact person</label> {{ form_widget(form.contactPerson) }} {{ flash_form_errors(form.contactPerson) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Complete the contact details of the person we can contact with questions about this application</label> {{ form_widget(form.contactPersonNumber) }} {{ flash_form_errors(form.contactPersonNumber) }} </div> </div> <hr/> <h5>You can specify two contacts</h5> <div class="form-row" > <div class="form-group col-md-12"> <label>First Name</label> {{ form_widget(form.firstName) }} {{ flash_form_errors(form.firstName) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Surname</label> {{ form_widget(form.surname) }} {{ flash_form_errors(form.surname) }} </div> </div> <h5>Provide at least one telephone number</h5> <div class="row" > <div class="form-group col-md-6"> <label>Telephone number</label> {{ form_widget(form.telephoneNumber) }} {{ flash_form_errors(form.telephoneNumber) }} </div> <div class="form-group col-md-6"> <label>Mobile telephone number</label> {{ form_widget(form.mobileNumber) }} {{ flash_form_errors(form.mobileNumber) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Email address <span>*</span></label> {{ form_widget(form.emailAddress) }} {{ flash_form_errors(form.emailAddress) }} </div> </div> <h4>Key startup details.</h4> <div class="form-row" > <div class="form-group col-md-12"> <label>Business name</label> {{ form_widget(form.businessName) }} {{ flash_form_errors(form.businessName) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Business location</label> {{ form_widget(form.businessLocation) }} {{ flash_form_errors(form.businessLocation) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Website and other social media channels [please paste links]</label> {{ form_widget(form.mediaChannel) }} {{ flash_form_errors(form.mediaChannel) }} </div> </div> <div class="row" > <div class="form-group col-md-6"> <label>Sector of business</label> {{ form_widget(form.businessSector) }} {{ flash_form_errors(form.businessSector) }} </div> <div class="form-group col-md-6"> <label>Year of registration</label> {{ form_widget(form.yearOfRegistration) }} {{ flash_form_errors(form.yearOfRegistration) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Short description of your business and what you do</label> {{ form_widget(form.businessDescription) }} {{ flash_form_errors(form.businessDescription) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Number of staff (please specify male/female)</label> {{ form_widget(form.numberOfStaff) }} {{ flash_form_errors(form.numberOfStaff) }} </div> </div> <div class="row" > <div class="form-group col-md-6"> <label>Males</label> {{ form_widget(form.males) }} {{ flash_form_errors(form.males) }} </div> <div class="form-group col-md-6"> <label>Females</label> {{ form_widget(form.females) }} {{ flash_form_errors(form.females) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Current (average) monthly revenue or sales of the business (in GHC)?</label> {{ form_widget(form.monthlyRevenue) }} {{ flash_form_errors(form.monthlyRevenue) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Why do people pay for your product or service? Why do they buy from you?</label> {{ form_widget(form.reasonPeopleBuy) }} {{ flash_form_errors(form.reasonPeopleBuy) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>What are new markets, clients, or partners you are trying to reach?</label> {{ form_widget(form.newMarket) }} {{ flash_form_errors(form.newMarket) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Has your company participated in any previous support programs? If so, which?</label> {{ form_widget(form.previousProgram) }} {{ flash_form_errors(form.previousProgram) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>What specific support (training, network, etc.) do you expect from the Danzel Klassic Innovation Hub acceleration program?</label> {{ form_widget(form.supportType) }} {{ flash_form_errors(form.supportType) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>What type of capacity-building or support would you want for your team</label> {{ form_widget(form.capacitySupport) }} {{ flash_form_errors(form.capacitySupport) }} </div> </div> <h4>Availability</h4> <div class="form-row" > <div class="form-group col-md-12"> <label>Are you available for the selection bootcamp on 10&11 July (2 days)</label> {{ form_widget(form.bootcampAvailability) }} {{ flash_form_errors(form.bootcampAvailability) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Are you available for one full year of the workshop days that make up the program?</label> {{ form_widget(form.workshopAvailability) }} {{ flash_form_errors(form.workshopAvailability) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Are you available for coach calls and visits for 4 hours per month?</label> {{ form_widget(form.coachAvailability) }} {{ flash_form_errors(form.coachAvailability) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Between the workshops, we anticipate that you and your team will be working on putting your growth strategy into practice. How many hours per month are you able to devote to this?</label> {{ form_widget(form.hoursPerMonths) }} {{ flash_form_errors(form.hoursPerMonths) }} </div> </div> <div class="form-row" > <div class="form-group col-md-12"> <label>Do you have any inquiries or feedback</label> {{ form_widget(form.inquiries) }} {{ flash_form_errors(form.inquiries) }} </div> </div> <div class="button-wrapper"> <button class="btn btn-default btn-green">Submit Application</button> </div> {{ form_end(form) }} </div> </div> </div> </div></div>{% endblock %}