BASIC INFORMATION

First Name

Last Name

Date of Birth

Email

Phone Number

Gender

Physical Address

Country of Current Residence

Country of Primary Citizenship

CV Upload

Please submit a detailed CV or resume for review. Only .pdf, .doc, .docx, .txt, .rtf file
formats are accepted. CV should not be more than 2 pages.
IDEA/COMPANY INFORMATION

1. What is the name of your project?

Provide a website link if any. Example: Impact Vision

(15-20 words max)

2. Do you have a team?

* This question may have follow-up questions.
3. Describe what your project does.

(15-20 words max)

4. What problem are you trying to solve?

(100 words max)

5. What technology will you leverage for your solution?

(100 words max)

6. What is your long-term impact of your solution?

(100 words max)

7. What is your planned approach to generating revenue?

(100 words max)

ACCOMPLISHMENTS & VIDEO

1. Describe one of your greatest accomplishments.

If part of a team, list each team member greatest accomplishment.

Provide URL link(s) to support evidence of this (e.g. dissertations, patents, news
articles, journal/other publications, manuals, financial statements, awards/honors or
any other reference materials.

(200 words max)

2. In which field(s) does your project most closely align?

Select any applicable fields

3. Submit your pitch deck.

Optional

(10 slides max)

4. Two-minute GIC Video URL

Please submit a URL of a 2-minute video answering the following questions:
Introduce yourself/team, explain your project and why you’d like to join the SU
program. What is your greatest passion in life, the goal that makes you excited to
work hard each day to create a better future?

There's no need to create a video with high-end production values; a simple webcam
video is acceptable. Please post your video on YouTube, Vimeo, or other
video-sharing website where we can view it easily.

If a password is required to access your video and is not provided here, then we
won't be able to consider your application further, and you will not be eligible.

5. Please share any additional information you think helps make the case for your
application.

Optional

(100 words max)

6. Do you know anyone at SU personally? Please let us know who.

Optional

(15-20 words max)

7. Please link any online profiles or materials you would like to share that can help
us get to know you better

Optional
These could be your: Twitter handle, Facebook, personal website, blog, etc.

8. How did you hear about this Global Impact Challenge?

Optional
* This question may have follow-up questions.