Global Goals 4 Youth 2019
Dear Applicants

IMPORTANT:
By completing and submitting this form, you are expressing your interest to be part of the Global Goals Labs 4 Youth, a program delivered by Impact Hub KL in collaboration with Sunway iLabs and Sunway University Social Innovation Support Unit (SISU).

SCHEDULE:
The GGL4Youth is an intensive 8 week pre-accelerator program which will include over 36 hours of workshop (on/offline) modules, peer-to-peer mentoring and coaching. The exact dates and times of these workshops will be communicated with the selected finalist participants.

If your require further information about this program, please do drop us an email at ralph.mpofu@impacthub.net or call/whatsapp us +60193810183

Name *
Email Address *
Phone Number *
Are you a Sunway College/University Student *
Do you have atleast 3 members in your team? (The program is open to teams of 3-5 members and not individuals) *
What is your innovation development stage *
What problem does your innovation address ?(Please be as detailed as possible) *
Which of the following UN Sustainable Development Goals (SDGs) has influenced the design and development of your idea/social innovation (can select more than one)
Describe your innovation or the innovative approach you have designed *
Describe your target beneficiaries/end-users? Please be as detailed as possible *
Describe the target social impact you wish to accomplish through the implementation of the project *
Select the kind of support you require in order to be able to implement this project effectively *
Required
If our innovation/team is selected as a finalist, I confirm availability and commitment of at least 1 member of my team to take part in person workshops or virtual meetings related to the Global Goals Labs for youth (end February - 31 April 2019) *
I wish to be contacted in the future by Impact Hub KL or Impact Hub KL’s partners on news updates, opportunities or for research purposes *
By entering this program, I acknowledge that my innovation and any publicly available data will be published in social media channels *
Please upload any files that will support your application
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