SEED Lab 2.0 Form (March - June 2020)
Thank you for your interest in SEED Lab 2.0. Please fill in this form and we will contact you shortly.
Email address *
Name *
Your answer
Organization and position *
Your answer
Phone number *
Your answer
The Problem addressed (max. 250 words): What are the causes of the problem? Why does the problem exist? What are the latest developments? Who is your audience? *
Your answer
The Solution identified (max. 250 words): Describe the product/service/program. How did you come up with this particular solution? What is the innovative character of your solution? *
Your answer
The Impact (max. 250 words): What do you expect to achieve? How will you measure and track the impact? *
Your answer
Relation to the problem and targeted community (max. 250 words): What inspired you to tackle this problem? How has the problem affected you and/or your community? *
Your answer
Current status of the project and the organization (if any) (max. 250 words): What has been achieved by the time of the application? What is/are your current budget/financial resources (if any)? How much money have you raised so far and how? Current staff, current projects etc. *
Your answer
Are there other projects/organizations in your region tackling similar issues? (max 200 words): Please name and describe if any. How is your organization/solution different? *
Your answer
Where do you see the organization 3 years from now? (max 250 words): How do you see the development of the organization (human resources, status, etc.)? What are the financial resources needed to launch/further develop the project (only numbers are accepted, ex. $5000.00; $5,000.00)? *
Your answer
How would you benefit most from your participation in the SEED Lab? (max 200 words): What do you think are the aspects you need to work on? What would you like to get support for? *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of mihai patru. Report Abuse