Innovation Champion Participant Registration 2025
This form is to register in ReachSci as a Innovation Champion participant. 

You can register before or after you make the payment. To make the payment, please identify your local trainer lead in your country, and then contact them to make the payment and confirm your registration. You can find the details of your local leads on this webpage: 
https://reachsci.com/innovation-champion

The deadline to complete the form and make the payment is the 17th of August 2025 at 23:59 BST.

Data Protection & Privacy:

Your personal information will be kept strictly confidential and used only for internal purposes related to the ReachSci Society. We do not share your details with third parties without your consent. 

Email *
1. Personal Information

This is to collect your basic details, including your name, email, country, and academic or professional background.


1.1 Full name in English (spelling as you like it in the certificate) *
1.2  Email *
1.3 Your WhatsApp number with country code (if you have one) *
If you do not have a WhatsApp number, please write none. 
1.4 Nationality  *
1.5 Current university/company  *
1.6 Current position or degree (e.g. technician, Master's) *
1.7 Academic degree field (e.g. biology, electrical engineering, etc...)  *
1.8 Please confirm that you paid the programme fees already to your local trainer *
1.9 Please write below the name of the local trainer who received the payment *
2. Pre-programme survey section 1 (Current Understanding & Experience with Innovation)

This part is for assessing your background in innovation, and your desired learning to ensure we prepare the programme best to fit with your desired goal and aspirations. 


Do not worry if you do not have any background in innovation, the programme aims to prepare well regardless of your background. 


2.1 Is this your first programme/training in innovation? *
2.2 How would you define "innovation" in your own words?  *
2.3 On a scale of 1 to 5, where 1 is "No experience" and 5 is "Extensive experience", how would you rate your current experience and background with innovation? *
No experience
Extensive experience
2.4 Have you ever been involved in an innovation project or initiative (e.g., developing a new product/service, improving a process, ideation session, etc.)? *
2.5 What innovation methodologies or frameworks, if any, are you familiar with (e.g., Design Thinking, Lean Startup, Agile, TRIZ, SCAMPER, Brainstorming)? (Check all that apply, or open text if "Other") *
Required
2.6 On a scale of 1 to 5, where 1 is "Not important" and 5 is "Very important", How important is it for you to learn innovation and become an innovator? *
Not important
Very important
2.7 What are your biggest challenges and barriers to becoming an innovator? *
Not important
Very important
2.8 What are your motivations for learning innovation?  (Check all that apply, or open text if "Other") *
Required
2.9 How confident are you in your ability to generate new ideas and innovating? (Scale 1-5, 1=Not confident, 5=Very confident) *
Not confident
Very confident

3. Pre-programme survey section 1 (Learning Expectations & Goals)

This is to acknowledge and agree to the responsibilities and commitments.


It worth noting here that ReachSci Innovation Champion is a gold membership level or a director level in ReachSci. 


3.1 Why are you interested in participating in this innovation programme? What do you hope to learn and achieve? *
3.2 What specific topics or skills related to innovation are you most interested in learning about during this programme? (Check all that apply, or open text if "Other") *
Required
3.3 What type of learning format do you find most effective? (Select all that apply) *
Required
3.4 Are there any specific challenges or constraints you foresee that might impact your participation or engagement in the programme? (e.g., time commitments, technical issues) (Open text) *
3.5 Is there anything else you would like us to know to help tailor this programme to your needs? (Open text) *
3.6 Do you require any accessibility needs? If yes, please specify your accessibility needs or the type of support required. *
A copy of your responses will be emailed to .
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