SENStation | Professionals – Submission Form

First Name *

Last Name *

Email *

Skype *

Link to LinkedIn account

Would you like to sign-up for the SENS newsletter? *

In which country will you be based for the next 6 months? *

In which city will you be based for the next 6 months? *

Spoken languages *

Nationality

What are your main skills? (use tags) *

Current company/organization *

Are you participating on behalf of a partnering organization? *

Industries and companies you've worked in? *

Years of experience in the industry *

Where did you go to university? *

Are you member of the CEMS community? *

Do you have any previous experience in social entrepreneurship? If so, what is it?

Are you applying for the position of coach or mentor? *

If you are applying from an official partner (e.g. corporation) we will ask you to become a coach. A coach will guide the team and provide from 2 to 4 hours of consulting sessions per month during the "Creation" and "Action" stages starting in January and ending in June. Teams can have only one coach. A mentor can provide one feedback session. One team can have many mentors.

If you apply for the position of mentor, how many projects would you like to be connected to? *

What would you like to bring to a project? *

Which sectors are you interested in? *

Accelerating Innovation
Agriculture/Farming
Animal Related
Children
Climate Change
Clothing
Community Development
Consulting
Democracy and Political Empowerement
Education
Elders
Emergency Relief
Energy Efficiency
Financial Inclusion
Food and Nutrition
Fundraising
Governance
Healthcare
Hospitality
Human Capital Empowerement
Ideas Incubation
Information Access/Freedom of Speech
Infrastructure and Mobility
IT Infrastructure
Jobs Creation
Microfinance
Natural Resource Management
Personal Development and Values
Pollution
Poverty Reduction
Renewable Energies
Renewables and Recycling
Resource-based Economy
Shelter and Housing
Social Event
Social Travel
Sustainable Cities
Technological Development
Tourism
Trade and Market Access
Transparency
Volunteering
Water and Sanitation
Wellness and Sport
Women's Empowerement
Youth Empowerement and Passion's Matching
Others

Check the box if you agree *

As a Global Cooperative Challenge participant, I hereby commit to be guided by the following principles:

- I respect the ownership rights of the ideas I will provide feedback to
- I understand that my attitude to coach teams will reflect upon their future success and therefore I will do my best to keep them motivated and help them create positive social impact on the environment and society
- I am driven by a desire to help others and make positive change in the world

Check the box if you agree *

I agree that the following data will be used to showcase my profile on www.SENStation.org if the application goes through:

- profile picture
- full name
- industry
- years of experience
- skills
- sectors interested in
- link to my linked-in account
- mentor or coach position
- what would you like to bring to a project
- experience in social entrepreneurship

Check the box if you agree *

I agree with the rules and regulations of the Global Cooperative Challenge provided at www.beta.senstation.org/gc2rules/

2+8=? *

Professionals – Submission Form

PROFESSIONALS ARE THE WISDOM OF THE SOCIAL ENTERPRISES