Social Innovation Management Application Form
Please fill in this form to apply to the Amani Institute's Social Innovation Management, with the next five-month digital editions starting in late January 2022 and August 2022. For more information on the SIM Digital program, kindly refer to our website. Should you have any trouble filling it in, please send an email to with the subject 'Application form issues'.
By signing below, you consent to fill in this survey and provide data that will be used by the Amani Institute to contact you about this program and other initiatives; and only in an aggregated way and/or anonymously for any external use, donor reporting and marketing purposes. *
Which edition are you applying for? *
What is your first name? *
What is your last name? *
What is your email address? *
Please share the city you currently live in. *
Please share the country you currently live in. *
Please share your home country (nationality). *
Please provide your phone number, including the country code. *
For example, +49 170000000
I identify as... *
What is your date of birth? *
Do you have a LinkedIn profile? Please share the link below if you do.
What is your level of English? *
Tell us your story. Please include any significant life events – and how they influenced the person you are today (max. 300 words). *
What are your TWO primary areas of interest when it comes to creating social change *
Please tell us about your interest and/or experience in any two of your chosen areas (max 150 words). *
What aspects of Amani’s curriculum prompt your application? In short: why do you want to do this program? How would you like this Program to contribute to your personal and professional development (max 300 words)? *
Which are the most important Social Innovation Management program elements and benefits to you? You can choose up to five program features. *
In which of the following sectors do you currently work? *
How many years of relevant work experience do you have (including internships)? *
Kindly describe how your current or past engagements contribute to solving social issues (max 200 words). *
Professionally, where would you like to be in the next 10 years (max 200 words). *
How did you first learn about this program? *
Please specify the answer to the question above as much as you can (which event? which social media platform? which social media group? which platform in particular?). This will help us serve the changemakers community better!
Do you have an application code from an Amani Institute Alumni or Partner Organization? Please fill in the code below:
Please read this carefully! Tuition fee and financial aid: The real value of this program at global market rates is over $16,000. However, Amani Institute offers it at $4950 because we want it to be as accessible as possible. As an independent social enterprise, we cover the remaining costs through our own consulting and training work and not through other funding. Thus, it is imperative that Amani Fellows invest in their learning to enable us to continue providing a world-class program. Nonetheless, we understand that the tuition fee may still be a barrier for many committed changemakers. As a result, there will be limited financial aid available in extreme cases of need. Please note that any financial aid offered only covers the cost of the Program. We do not sponsor airfare and housing. If you want to apply for additional financial aid to cover the program fee, please write your answer in the box below stating the type and amount of financial aid requested and your reasons for the request. Your reason should be based on both merit and need. Be aware that we might request additional documentation like financial records for yourself and immediate family members during the scholarship decision process. There may also be additional steps like assignments, interviews, and so on. Be aware also that the request for scholarship decreases your chances of getting selected into the program. If you are not requesting financial aid, just write NOT APPLICABLE. *
Never submit passwords through Google Forms.
This form was created inside of Amani Institute. Report Abuse