Teen Prize Application Form

1 About the Nominee

2 About the Project

3 What is next?

4 Required Documentation

Full Name*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Best Time to Reach*
School*
Age*
How did you hear about the IOC Teen Prize?*
Tell us about yourself (favorite subject in school, activities outside of school, favorite books, etc.*

What is the name of your project?*
What inspired you in developing this project?*
Tell us about your project and it's intended social impact on the community:*
Are there any similar initiatives solving the same issue your project is trying to address?*
How is your project different from what already exists?*
Who will benefit from your project?*
How are along are you with your project (vision, documented, implemented, etc.)*
Having a good team is an important element of the success of any project. Please list your team members and their roles:*

1. Please confirm that you (and your team members) will be able to attend a live, in-person, event in the Los Angeles area in December 2016 to represent your idea on stage if you are one of the nominees.*
- Yes, I (and my team members) will attend the event if nominated
2. High resolution color picture of you and/or your team:*
3. Attach permission release signed by all the team members or their parents if you are under 18:*
Download Release Form
4. Submit any reference material for your project that may help us further understand your vision (optional):
Where can we find you online?
Website/Blog
Twitter
Instagram
YouTube
Other
Three References for the Nominee
First Reference
Full Name
First Last
Phone
Email
Second Reference
Full Name
First Last
Phone
Email
Third Reference
Full Name
First Last
Phone
Email
Captcha
Comments
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Where can we find you online?