Digital Champions Club Scholarship Application Form

1
The first few questions are just to let us know who you are and what your organisation does.
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What's your name?* This field is required.
First Name
Last Name
3
What is your email address?* This field is required.This is how we will contact you about your application
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
4
Are you the Champion or the Sponsor?* This field is required.
Champion
Sponsor
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What is the name of your first Champion?
First Name
Last Name
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What is their email address?
example@example.com
7
What is the name of your other Champion?
First Name
Last Name
8
What is their email address?
example@example.com
9
Who will be your sponsor?We normally expect this to be the CEO of your organisation
First Name
Last Name
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What is your sponsors email address?
example@example.com
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What is the organisation you work for?* This field is required.
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Please share your website with us* This field is required.
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How big is your organisation?* This field is required.
1-20 employees
20-100 employees
100-200 employees
200+
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In two sentences or less, tell us what your organisation does* This field is required.
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The next few questions are to help us understand why you're interested in the scholarship and what you hope to achieve
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What challenges and opportunities do you imagine that a year in the Digital Champions Club might help your organisation address?* This field is required.
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Are you interested in the half scholarships (50% discount) as well as a full scholarship?* This field is required.
YESNO
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Thinking forward 12 months, how do you imagine that the way your organisation operates might be different from the way it operates now?* This field is required.
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Ok
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If you achieve the things that you hope to achieve over this time, what benefit will this create for society more broadly?* This field is required.
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Finally we'd love to know what you think you can bring to the digital champions community in terms of diversity of thinking and ideas.

This is a creative submission and you can choose to make your submission via the following formats

- text

- url/web

- file upload (file size limited to 10Mb)

Some examples of a creative submission might be a haiku, fictional story, poster, web page, video or interpretive dance number...just kidding (not kidding).
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What format would you like to make your submission in?
Text
Link
Upload
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Provide a link to your creative submission here
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Make your creative submission here
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Upload your creative submission here
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Submit your application* This field is required.Before submitting your application please confirm you have read and agree to the terms and conditions.
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