AI for Good Institute 2025 Online: Application Form

AI for Good Institute: Application Form

Thank you for your interest in attending the AI for Good Institute by Impact Genius. This is the application form for the online program Level 1, which runs from 25 Jan 2025 to 28 Feb 2025.
Full Name*

PrefixFirst NameLast NameSuffix
Primary E-mail*
Secondary E-mail*
example@example.com
Primary Phone Number*

Area CodePhone Number
How did you hear about this program?*
Were you referred by someone? Please let us know by whom. If not, please enter "NA"*
Demographics

This info has no bearing or influence on application results. We collect this data to showcase our pride in the diversity of our applicants, participants, and broader community members.
Are you local to the Bay Area, CA? If not, please enter.*

YesNoOther
Primary Residence Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Age at the time of application*
Country of Residence*
Country of Nationality*
Gender*
Educational Background

We welcome applicants from all backgrounds, professions, and levels of experience in startup innovation, 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?*
What do you hope to achieve or learn through this program?*
How do you plan to apply AI for Good in your career or future projects?
Project Ideas and Impact Areas
Which project fields/ areas are you interested in?*

Tech Safety (Privacy, Cybersecurity, Ethics)Sustainability (Climate/ Energy/ Renewables/ Other)Healthcare/ Medicine/ BiotechEducation TechnologyConsumer GoodsDeep TechRoboticsOther
Do you have a preferred sub-field within the project domain you selected? If yes, please describe.
Do you have any startup or project ideas you would like to explore during the program? If yes: Please describe.
Note: While we encourage applicants to present their startup/ project ideas, we cannot guarantee that this idea/ startup will be selected among the projects around which teams form. Please confirm your understanding.*

I understand and agree. My startup idea may not be selected, and I am excited about the possibility of supporting another project teamMy startup must be selected as a project team in order for me to participate
Based on your entry above, at what stage is this idea?

IdeationPre-development (not started yet)Very early stage (initial exploration/ validation, but have not registered the business)Early stage (validated idea, registered the business, no MVP, 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 and fully participate in all sessions?*

YesNo
Upload a Cover Letter (Optional)

Upload a File

Cancelof
Upload your Resume*

Upload a File

Cancelof
LinkedIn*
Should be Empty:

AI for Good Institute: Application Form

Demographics

Educational Background

Motivation and Goals

Project Ideas and Impact Areas

Final Details

Final Details