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Africa Climate Investing Forum – Forms

VIEW MEMBERSHIP DETAILS

Africa Climate Investing Forum Investor Application Form

Please ensure all required information is accurately and completely provided.

The forum costs $1500. Applications close on 12 January 2024.

An enrollment committee will review all the applications and inform applicants of the decision via email. Should the committee have any questions, an AVPA representative will reach out to you.

Please note that this form does not save data until you press submit at the bottom.

All fields are mandatory
Part One: Individual Information
Name*
First Last
Email*
Phone*
Part Two: Organisation Information
Organisation Name*
Where is your Organisation Headquartered?*
Is your organisation/innovation domiciled in Africa?*
Briefly describe the climate adaptation innovation you are currently working on (Max. 200 words)
Which climate adaptation challenges does your innovation address? Select all that apply.*
- Flooding
- Storms
- Pest Infestations
- Spread of Zoonotic Diseases
- Extreme Heat
- Drought
- Sea-level Rise
- Saltwater Intrusion
- Wildfires
- Soil Erosion
- Loss of Biodiversity
- Any Other:
You may make multiple selections
If any other
What is the stage of your innovation development?*
- Market Discovery
- Market Validation
- Business Model Development
- Investment Readiness & Early Traction
- Early Stage Growth & Market Penetratio
You may make multiple selections
Is your innovation technically sound, and have you completed any level of prototype or pilot testing? Please provide details.
- No prototype or pilot testing completed
- Prototype developed but not tested
- Prototype tested
- Pilot testing completed
- Other
What is the stage of your innovation development?
If other
Please elaborate on the technical robustness of your innovation, including any prototype or pilot testing that has been completed (Max 150 words):*
Does your project offer something novel or a significant improvement over existing solutions in the field of climate adaptation? Please quantify the degree of improvement over the existing state, to the extent possible. (Max 500 words)*
Please elaborate on the uniqueness and degree of improvement your innovation offers, providing quantifiable data or examples where possible (Max 200 words):*
How have you incorporated environmental sustainability into the design and delivery model of your innovation to ensure it does not perpetuate negative impacts on the environment (Max 100 words)?*
How does your innovation comply with ethical norms and contribute to positive social impact, including considerations of equity and inclusivity (Max 100 words)?*
By clicking on Submit button, I certify that: All the information provided is true and correct. I agree to the terms and conditions of this Forum. Once accepted, I will make my best effort to stay throughout the Forum.

Africa Climate Investing Forum Innovator Application Form

Please ensure all required information is accurately and completely provided.

Applications close on 12 January 2024.

An enrollment committee will review all the applications and inform applicants of the decision via email. Should the committee have any questions, an AVPA representative will reach out to you.

Please note that this form does not save data until you press submit at the bottom.

All fields are mandatory
Part One: Individual Information
Name*
First Last
Email*
Phone*
Part Two: Organisation Information
Organisation Name*
Where is your Organisation Headquartered?*
Is your organisation/innovation domiciled in Africa?*
Briefly describe the climate adaptation innovation you are currently working on (Max. 200 words)
Which climate adaptation challenges does your innovation address? Select all that apply.*
- Flooding
- Storms
- Pest Infestations
- Spread of Zoonotic Diseases
- Extreme Heat
- Drought
- Sea-level Rise
- Saltwater Intrusion
- Wildfires
- Soil Erosion
- Loss of Biodiversity
- Any Other:
You may make multiple selections
If any other
What is the stage of your innovation development?*
- Market Discovery
- Market Validation
- Business Model Development
- Investment Readiness & Early Traction
- Early Stage Growth & Market Penetratio
You may make multiple selections
Is your innovation technically sound, and have you completed any level of prototype or pilot testing? Please provide details.
- No prototype or pilot testing completed
- Prototype developed but not tested
- Prototype tested
- Pilot testing completed
- Other
What is the stage of your innovation development?
If other
Please elaborate on the technical robustness of your innovation, including any prototype or pilot testing that has been completed (Max 150 words):*
Does your project offer something novel or a significant improvement over existing solutions in the field of climate adaptation? Please quantify the degree of improvement over the existing state, to the extent possible. (Max 500 words)*
Please elaborate on the uniqueness and degree of improvement your innovation offers, providing quantifiable data or examples where possible (Max 200 words):*
How have you incorporated environmental sustainability into the design and delivery model of your innovation to ensure it does not perpetuate negative impacts on the environment (Max 100 words)?*
How does your innovation comply with ethical norms and contribute to positive social impact, including considerations of equity and inclusivity (Max 100 words)?*
By clicking on Submit button, I certify that: All the information provided is true and correct. I agree to the terms and conditions of this Forum. Once accepted, I will make my best effort to stay throughout the Forum.

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