Apply - Teen Innovators - Young Real Leaders Prize

1 About the Nominee

2 About the Project

3 What is Next?

4 Additional Requirements

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Please email info@youngrealleadersprize.com if you have any questions or need any technical assistance.
Full Name
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Best Time to Reach
School
Age
How did you hear about the Young Real Leaders Prize?
Tell us about yourself (favorite subject in school, activities outside of school, favorite books, etc.

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Please email info@youngrealleadersprize.com if you have any questions or need any technical assistance.
What is the name of your project?
What inspired you in developing this project?
Tell us about your project and it's intended social impact on the community:
Are there any similar initiatives solving the same issue your project is trying to address?
How is your project different from what already exists?
Who will benefit from your project?
How far along are you with your project (vision, documented, implemented, etc.)
Having a good team is an important element of the success of any project. Please list your team members and their roles:

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Please email info@youngrealleadersprize.com if you have any questions or need any technical assistance.
What steps or process do you think is required to make your ideas happen?
Where would you like this idea to be in 12 months?
What type of mentorship resources do you need to meet your goal?

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Have Questions?
Please email info@youngrealleadersprize.com if you have any questions or need any technical assistance.
1. Please confirm that you (and your team members) will be able to attend a live, in-person, event in the Los Angeles area in December 2016 to represent your idea at the event if you are selected as one of the winners.*
- Yes, I (and my team members) will attend the event if selected
2. High resolution color picture of you and/or your team:
Drop files here or

Accepted file types: jpg, gif, png, pdf.
3. Attach permission release signed by all the team members or their parents if you are under 18:
Accepted file types: jpg, gif, png, pdf, doc, docx, tiff.
Download Release Form
4. Submit any reference material for your project that may help us further understand your vision (optional):
Where can we find you online?
Website/Blog
Twitter
Instagram
YouTube
Facebook
Other
Three References for the Nominee
First Reference
Full Name
First Last
Phone
Email
Second Reference
Full Name
First Last
Phone
Email
Third Reference
Full Name
First Last
Phone
Email
Captcha
Phone
This field is for validation purposes and should be left unchanged.

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