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Company Sign-Up Form
Deadline: May 2022
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What is the name of your company/subsidiary?
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Your answer
Full name:
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Your answer
Job Title:
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Your answer
Email:
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Your answer
Phone Number:
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Your answer
Is your company a part of the Local Network?
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Yes
No
Please provide a brief description of your company (1-2 sentences):
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Your answer
How many Innovators would your company expect to nominate to take part in the programme?
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3
4
I don't know yet
Would you like your Innovators to be paired with a student?
Yes
No
Maybe
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Which of the 17 Sustainable Development Goals is your company most interested in addressing? (Select all that apply)
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Goal 1: No Poverty
Goal 2: Zero Hunger
Goal 3: Good Health and Well-Being
Goal 4: Quality Education
Goal 5: Gender Equality
Goal 6: Clean Water and Sanitation
Goal 7: Affordable and Clean Energy
Goal 8: Decent Work and Economic Growth
Goal 9: Industry, Innovation and Infrastructure
Goal 10: Reduced Inequalities
Goal 11: Sustainable Cities and Communities
Goal 12: Responsible Consumption and Production
Goal 13: Climate Action
Goal 14: Life below Water
Goal 15: Life on Land
Goal 16: Peace, Justice and Strong Institutions
Goal 17: Partnerships for the Goals
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