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Making A Difference Around Africa (MADAA)
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Application Form
First Name
Last Name
Highest Academic Qualification
Highest Academic Qualification
No formal education
Primary education
Secondary education
Bachelor's degree
Master's degree
Doctorate or higher
Home Address (house number, street name, nearest landmark)
State of Residence
State of Residence
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Telephone Number
Email Address
Which of the following best describes you? Select at least one.
Innovator
Academic Researcher
Entrepreneur
Inventor
Do you think you have the necessary technical skills to pursue your business idea?
Yes
No
Do you think you have sufficient business skills at this stage to pursue your business idea?
Yes
No
Do you have the passion, time and drive to pursue your business idea?
Yes
No
Is the problem you have identified a “sustainability” problem?
Yes
No
If the response to your question above is “NO”, categorize the problem you have identified and explain it.
In 300 words, describe the problem you have identified (clearly articulate the magnitude of the problem, the impact it is having on the environment and/or people why it is important to urgently address it, etc). In other words, explain the pain points your idea/product primarily addresses.
Explain the objective of your idea. Also, explain its core offerings and probable outputs
What inspired the idea? Explain the event/circumstances that inspired this idea.
Explain what is your product/solution (software, technology, intervention, design, research, prototype etc.), its distinct features & advantages. Additionally, give details of product offerings
What current issues and challenges of society/sector/lifestyle (environmental or economic) does your idea address? What is your idea’s approach to solving these issues?
Do you have an existing prototype of your solution?
In 300 words, clearly describe the innovation driving the solution you have created to address the identified problem.
Vividly describe how it operates to serve as a solution to the problem
What is your vision of growth for your innovation/research finding, intervention, enterprise, etc over the next 6 to 12 months? {Please provide information on the current state of your development activities, where it needs to get to within the next 6 to 12 months, and outline the necessary steps you need to take in order to get to the next level of growth} (word limit: 150)
Make a list of all the resources (financial, human resources and otherwise) you need to achieve the level of growth you have described above.
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