Forms

Sample Application Form

Applying for our Create Change Challenge? Here’s a preview of the questions you’ll be asked to complete:

Have you previously applied to one of the Converge Challenges?

☐Yes

☐ No 

If yes, please clarify what progress you have made since your last application (200 words).

Funding to date (only include funding that has gone to an incorporated business, not research funding paid to a university or paid to an individual).

If the project is a university spinout, please state your proposed spinout date. If the project is a start-up, please state ‘start-up’.

Non-confidential summary (100 words) 

  • Please provide a brief summary of your project and product/service. This summary may be publicly shared and should not include any confidential information about your business idea.

Marketing Information

  • Please provide your business description in 280 CHARACTERS (not words), in the style of a social media bio.

Innovation (250 words)

  • What is the innovative or creative element of your idea and how will you protect it? (e.g., intellectual property rights such as design rights)
  • How will you disrupt your industry or market?
  • What is your competition and why is your idea better or unique?
  • What stage of development is your product/service (e.g., prototype, market-ready)? 

Sustainability (200 words)

  • How will your business be financially sustainable (proposed business model)?
  • How could your business grow to generate greater impact?

Market validation (200 words)

  • Who are your target markets and customers?
  • How have you engaged with your customers/end users?
  • How will you get your product/service to your customers (proposed route to market)?

Team (150 words)

  • Who is in your team and what is the relevant experience of your team members?
  • What are your team requirements for market launch and what is your strategy for developing/building your team?

Resource planning (250 words)

  • What resources do you require to make your business “market ready”? For example:
  • Funding
  • Current and future team
  • Skills/expertise
  • Equipment
  • Premises

Impact (200 words)

  • Please provide a summary of your project’s social, cultural, educational or environmental impact.  
  • Detail the kinds of benefits you would plan to deliver to individuals, the communities and/or the environment.