Application for UNLEASH Innovation Lab 2017
Dear applicant,
Due to technical problems, it is currently not possible to enter the application platform. Please use this
document to prepare your application and copy-paste your answers into the online form once the
platform is up and running again on www.community.unleash.org.
Please note our new deadline for applications: Thursday May 4, 11.59 AM CET
For any further questions, please check our FAQ or contact us at [email protected].
We apologize for the inconvenience this might have caused and thank you for your understanding.
Sincerely,
The UNLEASH team
Part 1: Tell us about yourself
1.
Your Name
2.
Nomination Code (if applicable)
3.
Phone Number
4.
Birthday
5.
Gender (m/f/other)
6.
Where are you from?
7.
What country do you currently live in?
8.
What city do you currently live in?
9.
Do you have a passport that is valid through 2017?
10. Do you require a visa to visit Denmark?
11. Do you describe yourself as an academic, technical expert, intrapreneur, or entrepreneur?
12. 1st priority: What global challenge area / SDG are you most passionate about solving? (choose
between Education, Energy, Food, Health, Sustainable Production and Consumption, Urban
Sustainability, Water)
13. 2nd priority: What global challenge area / SDG are you next passionate about solving? (choose
between Education, Energy, Food, Health, Sustainable Production and Consumption, Urban
Sustainability, Water)
14. 3rd priority: What global challenge area / SDG are you next passionate about solving? (choose
between Education, Energy, Food, Health, Sustainable Production and Consumption, Urban
Sustainability, Water)
15. Why are you passionate about contributing your talents to the global challenge area that you
chose as your 1st priority above? (1.000 character’s maximum)
16. What is your experience working in this global challenge area or in a related field? (1.000
character’s maximum)
17. How do you ideally want to address this global challenge area? In other words, how do you want
to change the world? (1.000 character’s maximum)
18. What other relevant qualifications and experiences do you have? (1.000 character’s maximum)
19. Why do you want to participate in UNLEASH LAB 2017? (1.000 character’s maximum)
20. What do you hope to get out of UNLEASH LAB 2017? (select 2 maximum)
Chose two options on the platform
21. Expectations for Participation (I agree/I do not agree)
22. Terms and Conditions (I agree/ I do not agree)
Part 2: Tell us about your insights or ideas
1. Title that describes your insight or idea
2.
What is an insight you have had into a pressing global challenge? (1.000 character’s maximum)
3.
Do you have an idea for a solution to address this challenge based on your insight? (yes/no)
4.
What is your idea? (1.000 character’s maximum)
5.
Have you formally recorded your idea, such as in a project proposal or business plan? (yes/no)
6.
Have you tested your idea, such as through a pilot or trial program? (yes/no)
7.
If you have tested your idea, how many users / participants did you work with? (insert number)
8.
If you have tested your idea, how many weeks did your pilot or trial program last? (insert
number)
9.
Have you launched your solution, such as by starting an organization or initiating a program?
(yes/no)
10. If you have launched, is this your full time job? (yes/no)
11. If you have launched, how many paid employees do you have? (insert number)
12. If you have launched, how many customers or users do you have? (insert number)
13. If you have launched, how much money have you raised (in USD)? (if applicable) (insert number)
14. If you have launched, how much revenue (in USD) from sales customers do you have generated?
(if applicable) (insert number)
15. On a scale of 1 to 10, how would you describe your receptiveness to changing your idea in cocreation with others? (insert number between 1-10)