The Impact Labs - General Application

WELCOME TO THE IMPACT LABS!!

This is your first step to being part of a mission and movement that is creating transformational change, all across the world. This application form is for individuals who are interested in being part of the Labs. We will get back to you as soon as we can!

Personal Information
Full Name *

First Name Middle Name Last Name
Gender *

Male Female Non-Binary
Birth Date *

Day Month Year
Phone Number *
E-mail *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Social Media (1)
Social Media (2)
Social Media (3)
Portfolio / Blog
Website
Video Introduction
English Proficiency *
Languages Spoken
Achievements

Statement of Interest
This is when we do the deep dive. Based on the interests and the outcomes that you stated above, create something that communicates who you are, and what you are looking to contibute to the Impact Labs. You can choose to submit anything that expresses this in an authentic way.

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Some ideas to get you started:

1) a piece of written work in your style of communication (theoretical, research, editorial, media, creative, poetry etc)

2) a visual piece of work in your preferred medium (a painting, a photograph, a digital artwork, a sketch or drawing etc)

3) an auditory or performance based piece of work in your preferred vibe (a composition, a song or performance etc)

4) a digital or technology submission (provide a link)

5) an idea or pitch to collaborate

6) a product that you would like to work on

7) a teaching that you would like to develop

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This is a place of no limits!! Be authentic, bold and honest.
What priority area(s) would you like to be considered for?

Consumer solutions. Entrepreneurship-driven with a focus on solving impact-oriented problems with a consumer lens. Creating value through goods and services. Transformational tech. Technology and innovation-driven with a focus on using information, intelligence and technology to bring our world to elevated states of existence. Creating value through information, consciousness and disruption. Integrative Health. Health and well-being-driven with a focus on using transformational or integrative practices in the pursuit of well-being on a global scale. Creating value through human prosperity, alignment and performance. Global Economies. Track 2 Diplomacy driven. Contributing to collective prosperity, peace and security through a combination of research and development, programs, and diplomatic-commercial innovations. Creative value through elevating and integrating societies.
What stream(s) are you applying to?

Participant. In-person or remote project participants. This is an unpaid, internship-style stream that is learning-oriented and low-pressure. Residency. In-person or remote residencies. This is a paid, professional development-style stream that is value focused and more rigorous. Accelerator. IIn-person or remote accelerators. This is a negotiated entrepreneurship-driven stream that is partnership focused and focused on mutual alignment.
Description of Submission *

0/650
Submission(s)

Please upload written submissions in .pdf format and images in .jpeg. If large please ensure to upload in .zip format.
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Provide a link to your submission

Attachments
Please upload any additional documents to support your application.
Resume or CV

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Recommendation Letter

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Assessment Materials

If you have completed The Pathway of Potential and the self-assessments there, please attach any of the results here, so that we can have a better sense of your unique capability id and imprint.
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Additional files to support your applications

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Submission
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I hereby confirm that all information that I have submitted is true and representative of the applicant and their work. I also confirm that I have all the relevant rights related to any submissions provided here. *

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