Launchpad Application Form

LAUNCHPAD

LAUNCHPAD APPLICATION FORM

Your name(Required)

First Last

Your personal pronouns

Email(Required)

Language(Required)

English (oral/written)

French (oral/written)

Address(Required)

Street Address Address Line 2 City Province Postal Code

Region of operations

Are you seeking support for an existing project?(Required)

Yes

Project name (new or existing)(Required)

Project Summary (Please describe your project objectives)(Required)

What stage is your project at? How long have you been organizing? What are you currently focusing on within your project?(Required)

What is your role in the project?(Required)

Have you secured any other financial support?(Required)

Yes

If you answered "yes" to the previous question, please identify your funders.

How many team members are involved in your project?(Required)

Website/social media links (please insert if they exist).

What are you looking for in terms of support from a mentor? Which areas of your project are you hoping to move forward?(Required)

What is the desired timeline for your mentorship support?(Required)

Do you have the capacity to remotely work with your mentor at least 5 times over a one-year period?(Required)

How did you hear about the Launchpad Mentorship Program?(Required)

Please upload the most recent version of your CV or any other supporting documents (maximum 3).(Required)

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 100 MB, Max. files: 3.

Comments

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