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Young Real Leaders Prize Application (Young Leaders)
1
About the Nominee
2
About the Project/Organization
3
SWOT Analysis
4
Leadership
5
Additional Documents
Have Questions?
Please email info@youngrealleadersprize.com if you have any questions or need any technical assistance.
Full Name
Email
Phone
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Saint Martin
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Best Time to Reach
Name of School Attending or Attended
Age
How did you hear about the Young Real Leaders Prize?
Tell us about yourself (please provide a brief bio)
Have Questions?
Please email info@youngrealleadersprize.com if you have any questions or need any technical assistance.
Name of your Project or Organization
Year founded
Who are your partners, mentors, and investors?
What does your orgnaization/project do?
What significant social problem do you address?
How do you solve this problem?
Current status of project/organization
How do you measure success?
How do you plan on attaining self-sustenance? Are you already sustainable?
Have Questions?
Please email info@youngrealleadersprize.com if you have any questions or need any technical assistance.
Strengths
Weaknesses
Opportunities
Threats
What Resources do you need?
Have Questions?
Please email info@youngrealleadersprize.com if you have any questions or need any technical assistance.
Who is your CEO?
Please provide a summary of your operating budget
List your key team members, their roles, and how much time they dedicate to your organization:
Why should we choose you for the Young Real Leaders Prize?
Please upload the resume of the primary contact
Accepted file types: jpg, gif, png, pdf, doc, docx.
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 (.jpg or .png only):
Drop files here or
Accepted file types: jpg, gif, png, pdf, doc, docx, tiff.
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
Two References for the Nominee
First Reference
Full Name
First
Last
Phone
Email
Second Reference
Full Name
First
Last
Phone
Email
Captcha
Phone
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