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Visionary Awards candidate application
Each honoree will need to make him or herself available for a couple hours on one day to shoot a short 3-minute film to be shown at the event. Also please note that this honor is for an individual person and their company, not for a partnership or a network of people.

Thank you for your interest in this award!

Email address *
Your name (if different from candidate)
Your first and last name & your relationship to candidate
Your answer
Your email (if different from candidate)
Your answer
Name of candidate *
First and last name
Your answer
Candidate's email *
Your answer
Candidate's phone number *
Your answer
Name of Company *
Your answer
Number of employees in Berkeley *
Your answer
What is the candidate's connection to Berkeley? *
Required
Describe the market sector of the company:
Your answer
What is the story of this company: Its goals? How long until it reaches those goals?
Your answer
What is this company's stage of maturity (e.g.): years since launch, revenue generated, number of customers?
Your answer
What other awards has the candidate of their company received?
Your answer
In what way is this person/company a Visionary?
Your answer
How does this person/company contribute to Berkeley's innovation ecosystem?
Your answer
What values does this person/company have that are consistent with the Visionary Awards and Berkeley? Does this person/company exemplify "innovation with a conscience?"
Your answer
Is this person a good speaker? Charismatic?
Shy, Quiet, Doesn't like public speaking
Gregarious, Charismatic, Great public speaker
A copy of your responses will be emailed to the address you provided.
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