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TRAINING REGISTRATION
Expression of Interest Application
General Information
Statutory Requirements and Attachments
Technical Capacity Requirements
Trainings and Trainers
General Information
Kindly fill in details about your organization
Name of the Organization
Sector
Public
Private
Category of the institution
- Select -
University
TVET
CIH
NGOs
Training partner
County Hqs
- Select -
Mombasa
Kwale
Kilifi
Tana River
Lamu
Taita/Taveta
Garissa
Wajir
Mandera
Marsabit
Isiolo
Meru
Tharaka-Nithi
Embu
Kitui
Machakos
Makueni
Nyandarua
Nyeri
Kirinyaga
Murang'a
Kiambu
Turkana
West Pokot
Samburu
Trans Nzoia
Uasin Gishu
Elgeyo/Marakwet
Nandi
Baringo
Laikipia
Nakuru
Narok
Kajiado
Kericho
Bomet
Kakamega
Vihiga
Bungoma
Busia
Siaya
Kisumu
Homa Bay
Migori
Kisii
Nyamira
Nairobi
Physical Address
Organization Postal Address
Organization Phone Number
Email
GPS Coordinates
Name of the Contact Person
Designation of the Contact Person
Phone of the Contact Person
Experience
Number of years organization has been in existence
Number of years the organization has been offering ICT trainings.
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Statutory Requirements and Attachments
Company Registration Number/ Accreditation number
Certificate of Incorporation (Upload PDF file)
Choose File
Certified Copy of Current cr12 (ONLY for Limited Company) (Upload PDF file)
Choose File
KRA PIN No
Valid Tax Compliance Certificate No
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Geographical Presence
Is the organisation spread across the country?
Yes
No
Indicate the counties of presence
-Select County(s)-
Mombasa
Kwale
Kilifi
Tana River
Lamu
Taita/Taveta
Garissa
Wajir
Mandera
Marsabit
Isiolo
Meru
Tharaka-Nithi
Embu
Kitui
Machakos
Makueni
Nyandarua
Nyeri
Kirinyaga
Murang'a
Kiambu
Turkana
West Pokot
Samburu
Trans Nzoia
Uasin Gishu
Elgeyo/Marakwet
Nandi
Baringo
Laikipia
Nakuru
Narok
Kajiado
Kericho
Bomet
Kakamega
Vihiga
Bungoma
Busia
Siaya
Kisumu
Homa Bay
Migori
Kisii
Nyamira
Nairobi
Select the counties the organisation will be conducting trainings
-Select County(s)-
Mombasa
Kwale
Kilifi
Tana River
Lamu
Taita/Taveta
Garissa
Wajir
Mandera
Marsabit
Isiolo
Meru
Tharaka-Nithi
Embu
Kitui
Machakos
Makueni
Nyandarua
Nyeri
Kirinyaga
Murang'a
Kiambu
Turkana
West Pokot
Samburu
Trans Nzoia
Uasin Gishu
Elgeyo/Marakwet
Nandi
Baringo
Laikipia
Nakuru
Narok
Kajiado
Kericho
Bomet
Kakamega
Vihiga
Bungoma
Busia
Siaya
Kisumu
Homa Bay
Migori
Kisii
Nyamira
Nairobi
Do you intend to jointly work with any partner?
Yes
No
Add Partner Details
Name of Partner
Physical Location (County)
GPS
Capacity (How many trainees can be trained in that venue)
Indicate if subcounty
Ward
Others
Kindly fill in details on access to infrastructure in your organization
Venue
Does the institution have a dedicated ICT training room?
Yes
No
Indicate the No. of trainees that can be accommodated per number of rooms.
Does the organization have dedicated lab/class room(s) dedicated for practice?
Yes
No
If Yes, Indicate how many
Indicate the total devices
Devices
How many computers will be dedicated for the training.
List the tools (e.g., Projectors)
Do you have a Licensed web conferencing applications to facilitate online tutor-led training?
Yes
No
If yes, indicate the name
List Assistive Devices (e.g., Braille, Sign Interpreter) for PWDs available at the class/lab?
Internet Connectivity
Does the institution have stable and reliable internet connectivity?
Yes
No
Which Internet Service Provider (ISP) do you use?
Are there backup solutions in place for internet outages or technical issues
Yes
No
Power Connectivity
Does the institution have stable power connectivity?
Yes
No
Which source of power does the institution use?
Solar
KPLC
Do you have a backup solution in case of interruption?
Yes
No
Security
Indicate the security mechanism in place to secure training venue and participants?
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Training
Can the organization conduct 3 sessions in a day (morning, afternoon and evening sessions)?
Yes
No
Can the organization conduct physical as well as virtual training
Yes
No
Indicate the number of trainees the organization can train in a month?
Select the curriculum lots that the organisation will conduct training.
Foundation Digital Skills
Basic Digital Skills
Intermediate Digital Skills
Advanced Digital Skills
Trainers/Facilitators and Coordinators
How many lead trainer(s) will be conducting the training?
Indicate their years of experience
How many assistant trainers?
Indicate years of experience
Do have coordinators to support the training?
Yes
No
Attach the profiles of the trainers/facilitators with their qualifications (Upload PDF files)
Choose File
Communication and Mobilization
What strategies would you use to mobilise the trainees?
Indicate the communication channels
Social Amenities, and security
Indicate if the organization will provide social amenities to cater for the number trainees
Does the institution have accessibility infrastructure for persons with disabilities?
Yes
No
Indicate the security that would be provided by the organization during the training
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Commitment
Is the organisation committed to be part of the ICT training consortium for a duration of 12months?
Yes
No
Is the organisation willing to participate in the Proof of Concept (PoC) for 2 months?
Yes
No
Are you willing to facilitate trainers during the first 2 months?
Yes
No
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