Thank you for submitting your Impact to the SIMA Changemaker Award
Please submit this form to enter the competition. We look forward to celebrating amazing changemakers like you. 
Sign in to Google to save your progress. Learn more
Email *
Are you applying as an educator, student or youth leader? *
Required
Your full Name *
Your School Name (where applicable) *
Your Location (City, State, Country) *
Please select the Partner or Organization you are affiliated with (where applicable)
What are your preferred social media handles? (if you have one)
Your grade / The grade you teach (if applicable) *
Briefly describe your Project *
What is the topic, theme, SDG or social issue your project addresses?
What SIMA Academy film(s) inspired your project? (please list at least 1 film title, and no more than 3 films) *
What did you learn from the film(s)? Did your perspective about the issue change or did you discover something new? *
What type of project did you create? Please check all that describes your project *
Required
What planning resources did you utilize to create your project. Please describe and/or share a link. *
Please tell us about the impact of your project. You can use both quantitative and qualitative outcomes. *
For example: Who was involved and how did it effect them?
Please tell us what you learned in the process of creating your project? *
What was the best part about creating the project and what challenge did you face (if any).
Tell us about 1 thing you will do differently in the future after learning about this social issue and creating your own project about it. *
Please provide a link (google drive or dropbox folder) to where we can access your project and see evidence of your strategic plan (for example video, photographs, your campaign planning canvas etc.). Please provide a password where applicable. *
Keep in mind that the total maximum file size of the content should not exceed 1GB.
Can we contact you to get a 1' video statement about your experience? *
Terms and Conditions *
SIMA will never share or sell your e-mail or biographical data under any circumstances. Your entry grants SIMA the right to publish your project, your answers, first name, school name and location in connection with this competition, SIMA Academy and all related publicity purposes. Should your project be selected as a Finalist or Winner you grant SIMA the non-exclusive permission to publish and include your project as part of the SIMA Academy platform available to students, educators and education forums worldwide.
Required
ALL DONE!
Thank you for being part of the change you want to see in the world. You will hear from us soon.

Stay in the know and join the conversation! Follow us on X @SIMAacademy and Instagram @SIMAStudios.

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Social Impact Media Awards (SIMA).

Does this form look suspicious? Report