Solving Public Problems with Tech: The GovLab Academy, Fall 2014
Please help us learn more about who you are, what you do, and what you want to develop this fall by completing the form below.

DATES
September 4 (extended deadline): Deadline for non-credit applicants to submit this form (please note that the class starts on the 2nd so if you are able to submit your application earlier, please do so)

September 2: Enrollment date for all; deadline for all university-affiliated participants to submit this form
September 3: First day of in person class, MIT
September 4: First day of in person class, NYU

If you have any additional questions or concerns, email us at academy@thegovlab.org. Thank you!

For more information about the Fall 2014 program, see http://govlab.github.io/academy-courses/Solving-Public-Problems-Fall-2014/
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Last Name *
First Name *
Preferred Email Address *
Current Physical Location *
(City, State)
Social media links
Twitter, GitHub, blogs, etc. (one per line)
Please tell us about the topic of your Project? (max. 500 words) *
What problem do you seek to address? Why is this problem important? What are the causes of the problem you wish to tackle?
Please tell us about yourself (max, 200 words) *
How did you arrive at wanting to develop this project? Is it related to your job? Where did you come from and where do you want to go with it (on a more personal and professional level)?
In this Program, we believe that every student is a teacher. We are interested in getting to know more about your expertise including your credentials, experience, skills and interests. Using keywords, summarize your credentials (degress and subjects), if any. *
Please separate words with commas
Using keywords, summarize your experience. (e.g. relevant prior projects undertaken) *
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Using keywords, summarize your skills. (e.g. what do you do well) *
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Using keywords, summarize your interests. (e.g. topics about which you are passionate) *
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Are you applying with team members? *
If you applying with team members, please list their names *
If more than one person, please comma separate names.
Are you enrolling in this program for credit? Please note that for-credit applicants must register through their universities student information system and fill out this questionnaire. Non-credit applicants please apply using this form. *
How did you hear about this course?
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