Inclusive Africa Conference 2024 Innovators Application Form
Submission Deadline: Friday, March 1st, 2024
About you
Name:
*
First Name
Last Name
Email:
*
example@example.com
Phone Number:
*
-
Country Code
Phone Number
Country:
*
LinkedIn URL:
Name of Innovation:
*
Organization:
Your Job Title:
*
Organization's Website Link:
Do you have any disability?:
*
Yes
No
Disability Status
None
Blind
ColourBlind
Motor Disability
Speech Disability
Cognitive Disability
Multiple Disabilities
Cerebral Palsy
Neurodiverse
Other
I chose not to answer
About The Assistive Technology (AT) Innovation
Please list the Project Team.
*
0/200
Please provide Proof Of Ownership. Attach your certificate or documentation.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Describe what your innovation is all about
*
0/200
Who is the target audience/target market for your innovation?
*
0/200
How different or unique is your innovation from existing AT products, softwares and devices
*
0/200
Please provide a Demo link to your innovation
*
Upload your Demo Video here demonstrating how your innovation works
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How much does it cost for the user to access your innovation, e.g. purchase, subscription fee ($ USD)
*
Is your AT innovation scalable? Please explain how
*
0/200
Is the innovation supported by a profitable business model? Please explain how
*
0/200
How were inclusive design and accessibility principles used in making the AT innovation? Please explain
*
0/200
What category does your AT innovation fall under?
*
Mobile Application
Prostethic
Wheelchair
Website
Smart Watch
Mobility device
Other
Where did you learn about our Call For Innovations?
*
Please Select
Facebook
Twitter
Instagram
LinkedIn
YouTube
Other Online Platforms
Whatsapp
Referral
Website
Other
Save
Submit
Should be Empty: