About You

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What is your first name?

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What is your last name?

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What is your country of residence?

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What is your phone number?

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What is your level of English fluency?

About Your Work

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In which sector(s) are you most active as a changemaker? (Select all that apply)

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What is your current role/job position?

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Organisation name

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Link to you LinkedIn profile

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Please upload your CV in a PDF format

Your Changemaking Experience

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How would you describe yourself as a changemaker?

Which social / environmental problems move you? What have you undertaken to address them? At which level?

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Ashoka's vision is "Everyone a Changemaker" world. How does it resonate with you?

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How did you learn about the Visionary Program?

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Please share with us a bit more about the type of learning transformation you are seeking. Is it about certain skills you would like to learn? An attitude you would like to develop? How can Visionary Program, in your opinion, help you become a better changemaker?

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May we ask you to record a short 2-3 min video of yourself sharing about your motivation to join the Visionary Program? We invite you to record a video and share with us a link to a closed cloud or Youtube video.

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