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Innovation Champions Pre-Application Form
Pre-application form for 4th Cohort of the Innovation Champions Program that will start on October-November 2023. Potential participants will be evaluated based on their answers and will be subject to individual interviews prior to the start of the program.

What is your full name?
Which company do you currently work for?
In which region are you currently working?
What is your department and your role in your company?
How long have you been working overall?
How long have you been working in your company?
What are your previous work experiences?
Do you have any previous experience in innovation and entrepreneurship ecosystems?
Do you have any coaching and mentorship experience?
What motivates you to apply for the program?
What can be the main topics and areas of expertise for your startup mentorship sessions?
What is your email adress?
I have reviewed the Innovation Champions Program and I hereby commit to attend all the trainings and community activities throughout the program if I am selected as a participant.
Thank you for filling the form, we will be keep in touch with you as soon as possible.