INTRODUCTION
Welcome to the Powering Economic Opportunity: Create a World that Works competition.
You can share your project here with an online community of funders and potential
supporters. Important tips for success:
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Read the Guidelines and Criteria and Welcome Letter. These documents will help you complete
the competition entry form.
If your project is an idea, or in the pilot stage, please tell us about your plans for social impact and
spreading your project to other regions. Please be especially clear and specific about how you
will implement your project and its potential social impact.
Bring your story to life! Upload videos and supporting documents to your entry form under the
“media” tab.
Invite people you know to give you feedback about your project, and then revise and refine it
using the feedback you receive.
Take a look at the other projects, and feel free to share your thoughts, connect with other
entrants, and build new partnerships. Use the feedback you receive from comments posted on
your project to edit and improve your entry form before the competition deadline.
The sooner you share your project, the more exposure and insight you will gain from the
community!
Changemakers and the competition judges will not consider material not included in the entry
form (including comments and links to websites) for this competition. Please be sure to complete
all the critical information on your entry form.
Completing & Submitting Your Entry Form
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We encourage you to download the entry form in Microsoft Word so that you avoid losing your
work if your Internet connection is interrupted before you save your latest edits. Please complete
your first draft of the entry form in Microsoft Word, and then copy and paste your answers into the
online entry form.
As you complete the entry form, you can put it aside and then return to it later to revise and
improve it. Take your time—you can save the entry form in Microsoft Word and revise it as often
as you like. When you are ready, you can publish your entry form online. Later, based on the
feedback you receive from comments posted on your entry form, you can revise your published
online entry form. Remember, the final deadline for publishing and revising your entry form is 5
pm US Eastern Daylight Time on June 15, 2011.
ABOUT YOU
Section 1: About You
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First Name
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Last Name
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Email
Section 2: About Your Organization
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Name
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Website
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Phone
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Address
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Country [drop down]
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Region [drop-down]
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Countries where this project is creating social impact:
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Twitter URL
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Facebook URL
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Is your organization a
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Nonprofit
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Business
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Government entity
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How long has your organization been operating?
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Has the organization received awards and honors?
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Please tell us about them.
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References - Please provide two references with a two-sentence biography and email address
and phone number for each.
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Is the project that you are entering related to this organization?
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INNOVATION
To show that your project is innovative, your entry form should describe a unique model of systems
change and your paradigm-shifting solution to critical issues in a particular field, especially in a resourcepoor setting. Your entry form should show the possibility for large-scale expansion and demonstrate a
substantial difference from other projects in the field. However, your project does not have to be entirely
new to be considered innovative. Rather it can be a new approach to an old idea or a way of applying an
old idea in a new way. As you complete your entry form, be sure to incorporate how your project relates
to the theme of this competition.
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Entry form title –Your entry form’s title will be the first description of your project that the
Changemakers team and community will read. So please succinctly define your project (in 110
characters or less) to encourage feedback and collaboration.
What change do you want to bring to the world? [800 characters]
What are the primary activities of your project? [1,600 characters]
What is innovative about your initiative? How is it a new contribution to the field? [1,600
characters]
What stage is your project in? [drop down]
 Idea phase
 Operating less than a year
 Operating 1-5 years
 Operating more than 5 years
Tell us about the community that you engage? e.g., economic conditions, political structures,
norms and values, demographic trends, history, and experience with engagement efforts. [1,600
characters]
Share the story of the founder and what inspired the founder to start this project [1,600
characters]
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SOCIAL IMPACT
The social impact of your project is how it changes the way a system works in order to solve a problem
and create better lives for individuals and communities. Your project may have proven success at a small
level, or it may have benefitted millions of people globally, but it should have the potential for further
growth and to be applied globally.
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This entry is about (issues)
Please describe how your project has been successful and how that success is measured.
[1,600 characters] If appropriate, provide examples of metrics.
How many people have been impacted by your project?
 Fewer than 100
 101 – 1000
 1001 – 10,000
 More than 10,000
How many people could be impacted by your project in the next three years?
 Fewer than 100
 101 – 1000
 1001 – 10,000
 More than 10,000
How will your project evolve over the next three years? Please describe how you expect your
project will evolve (e.g., with a new customer base, entering a new sector). [800 characters]
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SUSTAINABILITY
To show that your project is truly effective, you must have a long-term plan for financial security and
community support. In previous competitions, successful entrants have detailed growth beyond the stage
of an idea, concept or research by providing evidence of their success. They have explained whether or
not they will charge for services, how they will develop strong partnerships and support networks to
address an ongoing need, and how they will develop a funding model that can help them scale-up their
project. You should describe not only how you are currently supporting your project financially, but also
how you plan to support your project financially in the future.
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What barriers might hinder the success of your project and how do you plan to overcome
them? [1,600 characters]
Tell us about your partnerships. [1,600 characters]
Current annual budget in US dollars. (not public)
How is your project supported? Please select all that apply:
 Friends and family
 Individuals
 Foundations
 NGOs
 Businesses
 Regional government
 National government
 Customers
 Other
Explain your selections. [1,600 characters]:
How do you plan to strengthen your project over the next three years? [1,600 characters].
Have you received funding from any of the following groups? (check all that apply)
 African Development Bank
 Ashoka
 Asian Development Bank
 AusAID (Australia)
 Bill & Melinda Gates Foundation
 Calouste Gulbenkian Foundation
 Caribbean Development Bank
 CASE Social Entrepreneurship
Awards
 CIDA (Canada)
 DFID (United Kingdom)
 Draper Richards Foundation
 Echoing Green
 European Bank for Reconstruction and
Development
 European Union (Any EU
Government)
 Fast Company Social Capitalist Award
 Ford Foundation
 Fulbright Fellowship
 Garfield Weston Foundation
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Global Fund for Women
 Goldman Environmental Prize
 Gordon and Betty Moore Foundation
 Howard Hughes Medical Institute
Kresge Foundation
Li Ka Shing Foundation
Lilly Endowment
MacArthur Foundation/Grant
Manhattan Institute Social
Entrepreneurship Award
 Mellon Foundation
 Nobel Prize
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Packard Foundation
Pew Charitable Trusts
Robert Bosch Foundation
Robert Wood Johnson Foundation
Schwab Foundation
Skoll Foundation
Starr Foundation
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Tech Awards
TED
United Nations (UN)
United Nations Children’s Fund
(UNICEF)
United Nations Development
Program (UNDP)
USAID (United States)
US Gov’t Social Innovation Fund
Wallenberg Foundation
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 Inter-American Bank
 Islamic Development Bank
 J. Paul Getty Trust
 Kauffman Foundation
 Kellogg Foundation
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Wellcome Trust
World Bank
World Food Programme (WFP)
World Health Organization (WHO)
World Wildlife Fund (WWF)
CHALLENGES
BARRIERS
Which barriers to employment does your innovation address? Please select up to three in order of
relevancy to your project (highest relevancy would receive a “1” and lowest, a “3”).
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Lack of efficiency
Inadequate transparency
Underemployment
Restricted access to new markets
Lack of skills/training
Need for regulatory/policy support
Restrictive cultural norms
Lack of visibility and investment
Lack of access to information and networks
Other (please specify) ____________________
Please describe how your innovation specifically tackles the barriers listed above. [800 characters]
SCALE
How are you growing the impact of your organization or initiative? Please select up to three potential
pathways in order of relevancy to you (highest relevancy would receive a “1” and lowest, a “3”).
 Grow geographic reach
 Within host country
 Multi-country
 Global
 Enhance existing impact through addition of complementary services
 Influence other organizations and institutions through the spread of best practices
 Repurpose your model for other sectors/development needs
 Leverage technology
 Other (please specify) ____________________
Please describe which of your growth activities are current or planned for the immediate future. [800
characters]
COLLABORATION
Do you collaborate with any of the following: (Check all that apply)
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Government
Technology providers
NGOs/nonprofits
For profit companies
Academia/universities
If yes, how have these collaborations helped your innovation to succeed? [800 characters]
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