Cohort 2021 Application

Name *

First

Last

Title

Email *

Company/ Organization Name

Address

Address Line 1

City

State

Zip Code

Instagram

Facebook

Website *

Twitter

Tell us who you are, your areas of impact, and your overarching goals. *

What problem are you working to solve? *

What data is driving the need for your project? *

Why is this project important to your business/organization, to your customers, and to the community at large? *

Describe your project and how it will address the problem you have outlined above. *

Is this project currently running or at the idea stage? *

Will it be a proof of concept, pilot project, or a capability expansion? *

Why is your project innovative and why is your organization uniquely suited to address this problem in this way? *

How will you design your technology project? *

What is your project timeline? *

Who are your partners? *

Please attach a high-level startup budget if you have one.

Click or drag files to this area to upload. You can upload up to 2 files.

How will you measure success? *

What will indicate your project is working? *

What data/information will you track and at what intervals? *

How will you fail fast and keep innovating to support long-term project success? *

How will you support this project long-term? *

Can this project scale beyond this initial proposal and serve as a model for other organizations or communities?? *