Part 1: General Information
Name
*
First Name
Last Name
Gender
*
Male
Female
Other
Age
*
Nationality
*
Current country of residence
*
Phone Number
*
-
Area Code
Phone Number
E-mail
*
LinkedIn
Github Repository
Skype username
Current university / faculty
*
Current level of studies
*
Bachelor
Master
Doctorate (PhD)
Academic field
*
Engineering
Computer Science / Informatics
Business Administration
Other
Other
CV / Resume
*
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of
English language proficiency test
*
TOEFL
IELTS
CAE
CPE
I have not passed an English language proficiency test
Certification of your results
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of
How did you hear about the START Fellowship
*
University
Social media
Friends
START Fellowship website
Other
Other
Part 2: Personal Questions
Can you commit to the full START Fellowship? (6 months)
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Yes
No
Have you previously participated in an accelerator program?
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Yes
No
If yes, please mention the name(s) of the program(s)
How many years of professional experience do you have?
*
0
1
2
+3
What is your greatest accomplishment so far? Explain why. (You may refer to anything you have done, built or created)
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Who is your role model, and why?
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Name 2 skills you excel at, and explain how it affects your work in projects
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Explain why the skills you selected would make you a successful entrepreneur
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As a future entrepreneur, what major problem to you wish to solve and why?
*
Part 3: Entrepreneurial assessment
Do you currently have a startup idea or prototype?
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Yes
No
If yes, please provide a description.
What makes you think it is a good idea?
How did you come up with this idea?
Why is this idea important to you?
What challenges do you struggle with when working on the idea?
Part 4: Objectives
What do you expect from the START Fellowship?
*
Once returned to your home country, how would you develop your startup and scale impact on your community?
*
If you are not admitted to the START Fellowship, what will you do instead?
*
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