AI for Good Institute: Application Form

AI for Good Institute: Application Form

Thank you for your interest in attending the AI for Good Institute by Impact Genius at Stanford University. Our program is 4 weeks long. 13 July - 11 August 2024. It is held online from 13 July - 3 August, and in-person, at Stanford University from 4-11 August. Please complete this application form.
Full Name*

PrefixFirst NameLast NameSuffix
E-mail*
Phone Number*

Area CodePhone Number
Are you local to the Bay Area, CA? If not, please enter.*

YesOther
Primary Residence Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Age at the time of application*
Nationality
For the week in-person, are you applying for the residential program or day program? 4-11 August 2024, Stanford University.*

Residential Program: 4-11 August 2024. Includes accommodation at Stanford + 3 meals with full program participation.Day Program: 4-11 August 2024. Includes full program participation and lunch on campus. Accommodation is not included.
If your were referred by someone, please let us know by whom
Educational Background

We welcome applicants from all backgrounds, professions, and levels of experience in AI and ML.
What is your highest level of education?*

High School DiplomaBachelors DegreeMasters DegreePost-Doctoral Degree
Please list your education history, including professional development*
Please list your professional experience incuding latest/ most relevant roles*
Please describe any technical experience you have with data science, artificial intelligence and machine learning
Please describe any experience you have in startup development, product, design thinking, or business education
Are you a Stanford Affiliate? (ie: current student, staff member, or alum)*

YesNo
If answered yes, please list your Stanford affiliation.
Motivation and Goals

Our program is immersive and transformational. We welcome professional learners who are committed, motivated, and pasionate about AI for Good. Participants must complete all program components and successfully collaborate withn their project teams in order to recieve the final certification.
Why are you interested in joining the AI for Good Institute at Stanford?*
What do you hope to achieve or learn through this program?*
How do you plan to apply AI for social good in your career or future projects?
Project Ideas and Impact Areas
Which AI for Good project fields/ areas are you interested in?*

Tech (Safety, Privacy, Cybersecurity, Ethics)SustainabilityHealthcareEducation TechnologyOther
Do you have a preferred sub-field within the project domain you selected? If yes, please describe. Example: Sustainability: Renwable Energy. Education: K-12/ HED. Healthcare: Bio-tech, mental health, diagnostics, etc.
Do you have any AI for Good project ideas you would like to explore during the program? Wonderful! Please briefly describe. (Note: Idea generators can pitch their idea to the cohort during the first week. After a vote, project teams will be formed.)
Based on your entry above, at what stage is this idea?

Pre-development (not started yet)Very early stage (initial exploration/ validation, but have not registered the business)Early stage (validated idea, registered the business, no product launched, no funding)Early stage, pre-launch (developed MVP/ began seed funding)Developed, launched (Product in market)Other
Final Details
Do you require a scholarship/ tuition assistance to attend this program? (Ie: partial or full reduction in fees)*

YesNo
If you answered yes to the above, please provide a brief explanation.
Is this reduction required for you to attend the program?

YesNo
Final Details
Are you able to attend our program on site full time between 4-11 August 2024, and fully participate in all sessions?*

YesNo
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AI for Good Institute: Application Form

Educational Background

Motivation and Goals

Project Ideas and Impact Areas

Final Details

Final Details