This programme is for individuals or groups who already have an idea which they want to bring
into the world. You are not yet ready for this programme – please consider our introductory
programmes: Designing 4 Impact, Branding 4 Impact, Startup 4 Impact
Thank you for your interest in participating in our programme and for taking the time to complete
the application form. All of your answers will be sent to you via the email address provided
for your records. If you have been selected you will be sent an email inviting you to schedule
an enrollment call with one of our team members.
17. Your Personal Contact
16. How important to you, is making your social change initiative a reality in the next 6-12 months
15. How much time do you have to devote to this initiative in the next 6-12 months?
14.Tell us about your team? How many in your team and what are their backgrounds? (If you have
no team that’s fine – just state ‘I have no team’ in the answer area below).
13.What is your background? This is an opportunity to brag – please tell us why you are the rightfccesses or even failures. In respect
of the latter, what have you learned from them. You can upload your CV/Resume here if you
Tell Us About You
12. What is the greatest challenge you are facing with your initiative at the moment? Click in
order to rank the following with the greatest challenge being first and the least challenge
11. Tell us where you are in getting this initiative off the ground
Tell Us Where You Are At?
10. In which country will your impact be primarily achieved?
9. Do you know the key organisations(locally, regionally or globally) working in your Global Challenge
6.Have you ever considered to which of the UN SDGs your initiative will contribute? Please
identify which sustainable development goal or goals you think your initiative will be
able to impact.
5.Please explain how you measure or propose to measure your impact? In short, tell us in 250
words or less how you measure the success of your initiative and include if you can your
unit of analysis.
4.Into which of the following societal acupuncture points do you think your initiative falls?
You can select more than one.
3.What global or local challenge do you think that your idea addresses? Pick as many as apply.
If you have not seen your particular Global or Local Challenge identified on this list and
you think it should be included here
Please submit below
2.Please describe your idea in 250 words or less
1.Do you have an idea which you think makes the world a better place?
Tell Us About Your Idea
Please take your time and answer the questions to the best of your ability. There are no right or wrong answers. There are
three parts to this form and all questions are mandatory and required in order to assess
if you and your social change initiative are a fit for our programme.