Otherdots
We would like to know a little more about you! What is your story? We would like a 60 seconds video where you tell us about you and why should we select you for the Otherdots program.
A good understanding of the the English language is the only requirement.
Personal Information
This is confidential information that will only be seen by us and used to get in touch and for logistics for the following steps of the application if necessary.
What is your first name? *
Your answer
What is your last name? *
Your answer
What is your gender? *
What is your email address? *
Your answer
What is your phone number including the country code? *
Your answer
What is your date of birth? *
MM
/
DD
/
YYYY
What is your country of origin? *
Your answer
What is your nationality? *
Your answer
Where do you live right now? *
Your answer
General Information
Just a little bit more!
What are the major challenges you see in your community, region and/or country? *
Your answer
What is it that you want to do to make a difference? *
Your answer
Tags that define your expertise (maximum 3) *
Your 60 seconds video
What is your story? Tell us about you and why should we select you for the Otherdots program.
Video URL (Youtube, Vimeo...) *
Your answer
Social information
Almost done, provide us with some social media links
Your LinkedIn profile link, if available
Your answer
Your Instagram profile link, if available
Your answer
Any other social media profile link, if available
Your answer
Your website (if you have one)
Your answer
How did you hear about us? *
Your answer
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