Applications are open
NOW – AUGUST 31, 11:59 PM

Short on time? Click here to download a copy of these questions and work on them at your own pace! Just copy and paste your answers in before the deadline. You can also grab a paper version of this application here


Name *
Name
Example - he/she/they
Age Range *
This information is purely for statistical purposes.
Phone *
Phone
How do you describe yourself? *
Check all that apply
Address *
Address
(if you are already a part of an existing organization/your organization is legally formed – if not, list “N/A”)
(for your venture, if applicable – if not, please list 'N/A')
(for your venture, if applicable – if not, please list 'N/A')
I have read and agree to the Civic Innovation Fellowship program details, and will be able to make a significant time commitment (15-20 hrs/month) to the Fellowship in 2018-2019. *
I understand that I need to be prepared for an in-person interview (to occur between August 8th- Sept. 14th) *
I understand that all third round finalists will be expected to pitch their ideas to the communities. *
What broader civic issue does your concept/organization fall into? *
(Check all that apply)
What business model/organizational structure best describes your concept/organization? *
Which stage below best describes the status of your venture? *
How much money have you raised/earned to date? *
Where has the majority of your money raised/earned come from? *
When did you start working on this? *
About how many hours per week do you work on it right now? *
What is your current status with your organization or the organization you seek to form? *
For the following questions, we are looking to get a clear and compelling sense of your problem and solution. It is best to imagine that you are writing your answers for someone who has no prior knowledge or experience with the problem area you are trying to address.
Article or research should focus on the problem itself, not necessarily your solution. Please do not submit articles where you are the primary author.
(150 words or less)
(150 words or less)
(150 words or less)
(150 words or less)
(100 words or less)