Digital Champions Club Scholarship Application Form

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The first few questions are just to let us know who you are and what your organisation does.
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Name* This field is required
First Name
Last Name
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Email* This field is required
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.
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Didn't receive verification code? orReceiving the email may take a few minutes, thank you for your patience!
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Are you a Champion or a Sponsor?* This field is required
Champion
Sponsor
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Name of first Champion
First Name
Last Name
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Email of first Champion
example@example.com
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Name of second Champion
First Name
Last Name
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Email of second Champion
example@example.com
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Name of Sponsor
First Name
Last Name
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Email of Sponsor
example@example.com
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Organisation name* This field is required
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Website* This field is required
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Organisation size* 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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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?
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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
Browse Files
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Submit your application* This field is requiredBefore submitting your application please confirm you have read and agree to the terms and conditions.
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