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.
Name (First, Last)
Phone Number (for our team to contact you)
Email ( for our team to contact you)
Year in School
How did you hear about us?
What Maternal Health Challenge are you most interested in?
Pre/Post Birth Complications
What is the specific problem you seek to solve?
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.
What is your product (the way you will solve this problem)?
Have you done any testing of this product/received any validation? If so, please explain below.
When are you available to meet with a Program Coordinator?
Send me a copy of my responses.
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