Social Venture Challenge Application
This application will help our team to better understand how to help you as you move forward with your innovative ideas. No matter where you are in the process of building your venture, we will help you.
Email address *
Name (First, Last)
Your answer
Phone Number (for our team to contact you)
Your answer
Email ( for our team to contact you)
Your answer
Your answer
Year in School
How did you hear about us?
Your answer
What Maternal Health Challenge are you most interested in?
What is the specific problem you seek to solve?
Your answer
Do you have a team formed?
Are you looking to join an existing team?
Are you looking to form your own team?
Are you interested in a different issue other than Maternal Health?
If you answered yes to the question above, please indicate the specific issue.
Your answer
What is your product (the way you will solve this problem)?
Your answer
Have you done any testing of this product/received any validation? If so, please explain below.
Your answer
When are you available to meet with a Program Coordinator?
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