Serious Games Developer Program: Application (English)

Full Name *

First Name Last Name

Preferred Name

Pronouns *

Ex. (She/Her)

Email *

example@example.com

What is your gender? *

Female Male Non-Binary Prefer Not to Say Prefer to Self-Describe

What region of Ukraine are you based in? *

West Ukraine Central Ukraine East Ukraine Northern Ukraine Southern Ukraine

Please list your region and city in Ukraine. *

What is the name of your company, institution, or organization affiliation? *

What is your title, position, or role in your company? *

Please briefly describe your company (organization size, your role, etc) *

0/100

What is your proficiency in reading English? *

	1	2	3	4	5

1 is Not Proficient, 5 is Fluent in English

What is your proficiency in speaking English? *

	1	2	3	4	5

1 is Not Proficient, 5 is Fluent in English

Will you require Ukrainian translation or interpreter services? *

Yes No

Are you applying with a group? *

Yes, I am applying with other team members No, I am applying solo

If you are applying with a group, who else is in your group?

What disciplines does your skillset cover? (Check all that Apply) *

Game Design Programming Art Writing/Narrative Design Audio

Briefly describe your developer experience: *

If you can provide a website link that shows your work, please share:

ex. http://myportfolio.com

Have you ever published a game? If so, please provide a link:

Please rate your understanding of how serious games for impact are created:

	1	2	3	4	5

1 is Least Understanding, 5 is Most Understanding

Have you ever participated in a workshop, game jam or hackathon type event previously? *

Yes No, but I am excited to participate!

If yes, what sort of events have you participated in?

ex. Global Game Jam

What excites you about creating serious games for impact? *

0/100

What obstacles do you anticipate when creating serious games? *

0/100

What are some of the social issues that you want to explore in a serious game? Why do these social issues interest you? *

0/100

Please confirm that you will be able to participate on the following dates:

14 November, 2020
15 November, 2020
21 November, 2020
22 November, 2020

Are you able to commit your participation on all the above dates?

Confirm

Please confirm that you are at least 18 years old. *

Confirm

By applying to this program, you acknowledge that you will participate in the Serious Games Workshop and Game Jam, as well as respond to any communication before, during, and after the events. You also confirm that all of the above information is accurate and true. *

I agree

Serious Games Developer Program: Application

Confirmation