SGS IMPACT CHALLENGE – 2021 – National Youth Forum

SOCIAL GOOD SUMMIT 2021
IMPACT CHALLENGE

Name *

First

Last

Sex *

Age *

Address

Region *

Phone *

Email

Please confirm that you are applying for? *

Institution/organization (if applicable): Are you operating as an individual, group or other entity? Please clarify: *

Are you operating as an individual, group or other entity? Please clarify:

Focus - Target Beneficiary? *

Location - In what location can we find your work? *

Observation - Why the intervention/ What was the problem you noticed? *

Action - What did you do about the problem? *

Scope - How many people have benefited from your action/intervention? *

Reference Check - Write down the contact details of 3- At least 1 should be a beneficiary people who can tell us about your work

(Please enter their phone numbers, address where applicable)

Any other information you would like to share?

File Upload

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Please attach any photos if applicable