Changemaker Challenge Form

× Name: *

× Email: *

× Major: *

× The Problem: *

What is the issue area being addressed and why is it important?

× The Person: *

Why are you qualified to address this issue? What knowledge, experience, or passion do you bring to the venture?

× The Solution: *

What is the project or venture idea? How will it work?

× The Innovation : *

How is the idea new and creative? What ideas does it improve or expand upon?

× The Evidence: *

Will this idea work? Why do you think so?

× The Impact: *

What positive results do you expect to come of this project or venture? How will they be measured?

× The Money: *

Give us a breakdown of your estimated budget for the project within the scope of the funding source you identified.

× Math question * 9 + 10 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

× Math question * 4 + 0 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.