FUTURE MAKERS SECTION 1: ABOUT YOU DON T FORGET, YOU CAN ONLY APPLY VIA THE ONLINE FORM.

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1 DON T FORGET, YOU CAN ONLY APPLY VIA THE ONLINE FORM. SECTION 1: ABOUT YOU THESE ARE THE QUESTIONS YOU NEED TO ANSWER TO APPLY FOR THE PROGRAM. This document can help you prepare your submission as the online submission doesn t allow you to save and return at a later time. Don t forget, you can only apply via the online form. Social entrepreneur You have identified a social problem that you believe you can solve with a technology based solution. You want to tackle a major social issue and offer new and innovative ideas for wide-scale change. Social enterprise You re an organization that applies commercial strategies to solve a pressing social problem through technology. Your organisation may include putting profits back into social projects where you are making a positive impact in the community rather than profits. NFP/Charity/NGO s. Which of the above are you applying as (please select one): Name / Name of Social Enterprise / Name of Charity / NGO Your contact name Location name please specify city Postcode

2 Mobile Number SECTION 2: THE IDEA (OR YOU MAY HAVE BEEN WORKING ON THIS SO IT S MORE THAN JUST AN IDEA ) What s the name of your project? Max 100 characters with spaces Provide a 3 sentence elevator pitch that describes your project and the problem it solves. Max 1000 characters with spaces How s your project going to make a big difference? Max 1000 characters with spaces How long have you been working on this idea? Ie. Is this something you have progressed and been working on for a while. Max 2400 characters with spaces

3 Are there any other similar programs out there? And if so, how is your project different? Max 1000 characters with spaces Are there any other innovative solutions to social problems that you have worked on? No If yes, please tell us about it. Max 1000 characters with spaces Which of the following categories fits the problem you re trying to solve for young people and why you need funds for it. Some projects may be across more than one area, it s ok to choose the most appropriate: EMPLOYABILITY You may have a smart idea which uses technology to improve a young person s ability to be job ready, become employed or help them get ahead with future career options and transitions to employment. You may also be acting on an innovative idea to remove barriers which prevent disadvantaged young people from accessing training or employment. EDUCATION You may have a smart idea which uses technology to improve education outcomes, or aims to close education gaps for disadvantaged or vulnerable youth. You might also have some bold thinking that ll help kids stay engaged in school or remove barriers to completing their education. CYBER EDUCATION AND SAFETY You may be thinking big to help young people build a positive online presence so they can stay safe online. Your idea may address the many challenges young people face in the social media world and help develop responsible young digital users. WELLBEING You may know how to make your idea work with technology to improve young people s mental wellbeing and health. This may include access to vital services or increasing resilience for kids who face real disadvantage. Please select a category Please select

4 How would your idea contribute to solving this challenge? Max 1000 characters with spaces Who else is working on this with you? Do you have a team? Max 1000 characters with spaces Do you have anyone else s backing such as a co-investor? No Please advise the name and contact at the organisation and what support or interest they have shown. (If you selected no then you don t need to answer this part) Max 1000 characters with spaces What has been the biggest challenge so far? Max 1000 characters with spaces As the Future Makers program is about developing technology based solutions, we need to get an understanding if you have created or assessed a minimal viable product or prototype. No If yes, tell us about this. (If you selected no then you don t need to answer this part) Max 1000 characters with spaces

5 What is the most exciting thing about your idea? How will you know if it s successful? Max 1000 characters with spaces SECTION 3: MORE ABOUT YOU What is your role in this program? (1 sentence) Have you participated in any other programs that have helped you to develop your idea? Max 1000 characters with spaces Please share with us any links that support your application, e.g. Websites, links to articles Max 200 characters with spaces Please share with us your social media profiles (if applicable): Twitter, Facebook, LinkedIn, YouTube Max 200 characters with spaces If successful, we will work with you to get maximum exposure for your idea, such as participating in videos, interviews, photo opportunities etc. Do you agree to this? As a Future Maker, you will take part in a program which will incubate or accelerate your idea. This involves your attendance of a few days each month over the course of several months. Do you agree to this?

6 SECTION 4: FUNDING How much funding are you applying for? Future makers grants are for up to $50,000 including GST Tell us how this funding will be mostly spent? Max 100 characters with spaces Has this project received funding from any additional sources other than the Future Makers Grant? No If yes, please list these additional funding sources (If you selected no then you don t need to answer this part) Max 500 characters with spaces, I ve read and understood the Programs Terms and Conditions.*, I ve read your privacy policy* CALLING ALL INNOVATORS GAME CHANGERS