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Physical Workshops Application Form
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Physical Workshop Location Being Applied For
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Choose
Accra, Ghana
Nairobi, Kenya
Cairo, Egypt
Dakar, Senegal
Douala, Cameroun
Johannesburg, South Africa
Hub Name
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Your answer
Hub Address
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Include "City/State" and "Country"
Your answer
Hub Website
*
Your answer
Is your hub a member of the AfriLabs Network?
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Yes
No
Hub Social Media Handles (Instagram, Twitter, LinkedIn)
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Your answer
Representative's Name
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Your answer
Representative's Position at Hub
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Your answer
Representative's Email Address
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Your answer
Evidence of Representative's long term commitment
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Evidence that the representative of the workshop is going to be in the hub for the long run in order to implement lessons learned during the workshop. This evidence may come from the hub (Document can be included via a link)
Your answer
How will attending the workshop impact your current focus areas
*
Your answer
Provide recent evidence of your work supporting innovators/entrepreneurs to build technology solutions (links to news, articles, online mentions, documents, videos etc.)
*
Your answer
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